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Antigen Detection For A Group Of Organisms

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $48.98 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$9.33$8.13 to $10.23
FacilityA hospital or hospital-owned outpatient department$48.98$12.02 to $54.95

How much rates vary

Facilitymedian $49 · 10th to 90th $10 to $72Professionalmedian $9 · 10th to 90th $8 to $12
$5$10$20$50facility $49professional $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
$10.23
Median
$54.95
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.77
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$10.96
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.61
Typical High
$18.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$43.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$9.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$13.80
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.33
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$13.49

Where Utah 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.

Utah· 31st 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.