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Antigen Detection For A Group Of Organisms

Florida rates for HCPCS 87451

A laboratory test that looks for germ material directly in a sample using an antibody-based method, with a reagent that reacts with a group of related organisms rather than a single one. It gives a faster answer than growing the organism in culture. A positive result usually leads to further testing to identify the specific organism.

Rates data updated July 2026.

How much does Antigen Detection For A Group Of Organisms cost?

$8.91

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $22.39 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$7.94 to $8.91
FacilityA hospital or hospital-owned outpatient department$22.39$10.47 to $31.62

How much rates vary

Facilitymedian $22 · 10th to 90th $9 to $47Professionalmedian $8 · 10th to 90th $7 to $11
$5$10$20$50$100facility $22professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$29.51
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.32
Typical High
$10.72
AvMed
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$12.30
AvMed
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$11.75
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$10.23
Typical High
$19.50
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$19.50
Typical High
$19.50
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$13.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$5.25
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$9.55
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.75
Typical High
$19.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$10.47

Where Florida sits

The same service costs 2.5 times more in South Dakota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 39th of 51

$8.91

SD $19.95DC $7.94

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.