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Antigen Detection For A Group Of Organisms

Montana 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?

$13.80

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $15.85 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$13.18$12.02 to $30.20
FacilityA hospital or hospital-owned outpatient department$15.85$13.18 to $20.42

How much rates vary

Facilitymedian $16 · 10th to 90th $10 to $32Professionalmedian $13 · 10th to 90th $7 to $69
$5$10$20$50facility $16professional $13

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
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$17.78
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$12.02
Typical High
$15.14
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$14.13
Typical High
$31.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.13
Typical High
$31.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$20.42
Typical High
$60.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.50
Typical High
$13.49

Where Montana 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.

Montana· 7th of 51

$13.80

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.