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Antigen Detection For A Group Of Organisms

Kansas 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?

$10.47

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $24.55 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 5 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$9.12$8.13 to $10.47
FacilityA hospital or hospital-owned outpatient department$24.55$11.75 to $38.90

How much rates vary

Facilitymedian $25 · 10th to 90th $10 to $60Professionalmedian $9 · 10th to 90th $7 to $21
$5$10$20$50facility $25professional $9

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
$11.22
Median
$22.91
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$15.49
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$12.02
Typical High
$40.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$20.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.76
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$10.47
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.94
Typical High
$19.50

Where Kansas 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.

Kansas· 23rd of 51

$10.47

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.