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Antigen Detection For A Group Of Organisms

Washington 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?

$10.96

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $16.98 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 9 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$9.77$9.55 to $12.59
FacilityA hospital or hospital-owned outpatient department$16.98$10.96 to $22.91

How much rates vary

Facilitymedian $17 · 10th to 90th $10 to $43Professionalmedian $10 · 10th to 90th $6 to $20
$5$10$20$50facility $17professional $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
$9.77
Median
$21.88
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$69.18
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.18
Typical High
$28.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$22.39
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.96
Typical High
$16.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.33
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$21.38
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$18.20
Typical High
$28.84
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$12.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$15.85
Typical High
$28.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.33
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.59
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.50
Typical High
$13.49
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.50
Typical High
$19.05

Where Washington 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.

Washington· 18th of 51

$10.96

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.