go back

Antigen Detection For A Group Of Organisms

South Carolina 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?

$8.32

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.13 from a physician practice, and about $25.70 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$8.13$8.13 to $8.32
FacilityA hospital or hospital-owned outpatient department$25.70$10.47 to $50.12

How much rates vary

Facilitymedian $26 · 10th to 90th $8 to $66Professionalmedian $8 · 10th to 90th $8 to $11
$0.1$1$10$100facility $26professional $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
$7.41
Median
$19.50
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$9.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$57.54
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.22
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$34.67
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.31
Typical High
$12.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$10.96
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.47
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.76
Typical High
$19.95

Where South Carolina 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.

South Carolina· 45th of 51

$8.32

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.