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Antigen Detection For A Group Of Organisms

Hawaii 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?

$17.38

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $17.38 for this service. Most negotiated rates run $13.18 to $21.88.

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.

How much rates vary

Facilitymedian $10 · 10th to 90th $9 to $13Professionalmedian $18 · 10th to 90th $12 to $24
$10$20facility $10professional $18

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
$8.71
Median
$10.47
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$12.59
HMSA
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$21.38
Typical High
$23.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$13.49
Typical High
$18.62
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.38
Typical High
$24.55

Where Hawaii 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.

Hawaii· 2nd of 51

$17.38

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.