go back

Antigen Detection For A Group Of Organisms

New Mexico 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?

$12.59

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $33.88 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$8.51$7.94 to $12.59
FacilityA hospital or hospital-owned outpatient department$33.88$15.85 to $67.61

How much rates vary

Facilitymedian $34 · 10th to 90th $10 to $89Professionalmedian $9 · 10th to 90th $6 to $69
$10$100$1K$10K$100Kfacility $34professional $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
$15.85
Median
$31.62
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.59
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$57.54
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.51
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$14.79
Typical High
$20.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$11.48
Typical High
$16.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$14.79
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$9.55
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$7.08

Where New Mexico 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.

New Mexico· 10th of 51

$12.59

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.