go back

Antigen Detection For A Group Of Organisms

Idaho 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?

$12.02

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $17.78 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$9.77 to $17.38
FacilityA hospital or hospital-owned outpatient department$17.78$10.47 to $27.54

How much rates vary

Facilitymedian $18 · 10th to 90th $10 to $38Professionalmedian $10 · 10th to 90th $7 to $20
$5$10$20facility $18professional $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
$19.05
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.02
Typical High
$20.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$23.44
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.33
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$21.88
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$15.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$13.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$12.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$38.02
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.91
Typical High
$10.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$26.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.75
Typical High
$14.45

Where Idaho 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.

Idaho· 14th of 51

$12.02

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.