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Antigen Detection For A Group Of Organisms

Maine 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 Maine, 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 $16.98 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$10.47$7.94 to $10.47
FacilityA hospital or hospital-owned outpatient department$16.98$10.47 to $46.77

How much rates vary

Facilitymedian $17 · 10th to 90th $10 to $71Professionalmedian $10 · 10th to 90th $5 to $13
$5$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
$10.47
Median
$10.47
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.51
Typical High
$10.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$70.79
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.03
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.49
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$14.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.47
Typical High
$12.59
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$46.77
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.47
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.47
Typical High
$18.20

Where Maine 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.

Maine· 21st 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.