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Antigen Detection For A Group Of Organisms

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $23.44 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 8 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$9.55 to $15.85
FacilityA hospital or hospital-owned outpatient department$23.44$14.45 to $30.90

How much rates vary

Facilitymedian $23 · 10th to 90th $9 to $38Professionalmedian $10 · 10th to 90th $7 to $26
$5$20$100$500$2Kfacility $23professional $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
$7.24
Median
$20.42
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.71
Typical High
$33.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$13.49
Typical High
$70.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.47
Typical High
$25.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$23.44
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$15.14
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$12.02
Typical High
$26.92
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$61.66
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$17.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$23.99
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$13.49
Typical High
$70.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.47
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$10.47
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.47
Typical High
$24.55

Where Massachusetts 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.

Massachusetts· 20th 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.