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Antigen Detection For A Group Of Organisms

Rhode Island 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?

$10.00

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $28.84 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 4 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$10.00$7.94 to $10.00
FacilityA hospital or hospital-owned outpatient department$28.84$13.18 to $60.26

How much rates vary

Facilitymedian $29 · 10th to 90th $12 to $62Professionalmedian $10 · 10th to 90th $6 to $19
$10$20$50facility $29professional $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
$15.85
Median
$38.90
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$12.59
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.94
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$22.91
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.51
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$13.49
Typical High
$19.95

Where Rhode Island 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.

Rhode Island· 30th of 51

$10.00

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.