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Antigen Detection For A Group Of Organisms

Pennsylvania 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?

$9.77

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $21.88 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 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$8.51$8.32 to $9.77
FacilityA hospital or hospital-owned outpatient department$21.88$12.88 to $30.90

How much rates vary

Facilitymedian $22 · 10th to 90th $9 to $46Professionalmedian $9 · 10th to 90th $7 to $20
$5$10$20$50$100facility $22professional $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
$8.91
Median
$24.55
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.51
Typical High
$24.55
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$15.49
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$12.30
Typical High
$23.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.17
Typical High
$15.14
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$18.20
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$24.55
Typical High
$39.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.51
Typical High
$30.90
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$39.81
Typical High
$72.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.47
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.76
Typical High
$19.05

Where Pennsylvania 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.

Pennsylvania· 34th of 51

$9.77

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.