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Antigen Detection For A Group Of Organisms

Illinois 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?

$10.23

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $8.13 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 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$8.13$7.24 to $10.72
FacilityA hospital or hospital-owned outpatient department$17.38$10.96 to $21.88

How much rates vary

Facilitymedian $17 · 10th to 90th $9 to $44Professionalmedian $8 · 10th to 90th $3 to $21
$5$10$20$50$100facility $17professional $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
$8.71
Median
$16.60
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.12
Typical High
$21.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$25.12
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.24
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$22.91
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$12.02
Typical High
$19.05
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.50
Typical High
$141.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.08
Typical High
$13.49

Where Illinois 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.

Illinois· 29th of 51

$10.23

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.