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Antigen Detection For A Group Of Organisms

West Virginia 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?

$8.71

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $13.18 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$8.32$7.94 to $8.71
FacilityA hospital or hospital-owned outpatient department$13.18$8.71 to $15.85

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $16Professionalmedian $8 · 10th to 90th $6 to $9
$5$10$20$50facility $13professional $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
$8.71
Median
$13.18
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.32
Typical High
$9.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$15.49
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$18.62
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$13.49

Where West Virginia 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.

West Virginia· 41st of 51

$8.71

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.