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Antigen Detection For A Group Of Organisms

Iowa 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?

$12.59

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $17.38 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$10.47$8.13 to $25.12
FacilityA hospital or hospital-owned outpatient department$17.38$10.47 to $27.54

How much rates vary

Facilitymedian $17 · 10th to 90th $8 to $30Professionalmedian $10 · 10th to 90th $7 to $69
$10$20$50facility $17professional $10

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
$8.13
Median
$25.12
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.13
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$19.95
Typical High
$25.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$23.44
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.80
Typical High
$33.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$11.75
Typical High
$26.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$13.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.94
Typical High
$26.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$10.47

Where Iowa 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.

Iowa· 13th of 51

$12.59

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.