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Antigen Detection For A Group Of Organisms

Georgia 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?

$9.77

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $13.80 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 6 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$6.92 to $10.47
FacilityA hospital or hospital-owned outpatient department$13.80$10.00 to $16.60

How much rates vary

Facilitymedian $14 · 10th to 90th $8 to $19Professionalmedian $8 · 10th to 90th $5 to $17
$5$10$20facility $14professional $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
$8.32
Median
$15.85
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.91
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$13.18
Typical High
$17.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.46
Typical High
$18.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$20.89
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$20.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$9.55
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.31
Typical High
$18.20

Where Georgia 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.

Georgia· 35th of 51

$9.77

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.