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Antigen Detection For A Group Of Organisms

Nebraska 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?

$16.22

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $35.48 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$7.76$6.92 to $25.12
FacilityA hospital or hospital-owned outpatient department$35.48$12.88 to $79.43

How much rates vary

Facilitymedian $35 · 10th to 90th $7 to $115Professionalmedian $8 · 10th to 90th $6 to $69
$5$10$20$50$100facility $35professional $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
$20.89
Median
$39.81
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.95
Typical High
$25.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$13.18
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.31
Typical High
$19.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$21.88
Midlands
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$9.55
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$20.89

Where Nebraska 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.

Nebraska· 3rd of 51

$16.22

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.