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Rapid Antigen Test For One Organism

Connecticut rates for HCPCS 87850

A rapid laboratory test that looks directly for a specific germ in a sample taken from the affected site. Material from the organism sticks to a reagent and produces a color change that is read by eye, so an answer is available quickly rather than after days of growing a culture.

Rates data updated July 2026.

How much does Rapid Antigen Test For One Organism cost?

$12.59

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $35.48 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$10.72$10.72 to $14.79
FacilityA hospital or hospital-owned outpatient department$35.48$24.55 to $50.12

How much rates vary

Facilitymedian $35 · 10th to 90th $25 to $68Professionalmedian $11 · 10th to 90th $10 to $26
$10$20$50$100facility $35professional $11

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
$24.55
Median
$35.48
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$26.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$38.02
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$24.55
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$18.20
Typical High
$35.48
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.60
Typical High
$42.66

Where Connecticut sits

The same service costs 3.0 times more in North Dakota than in Connecticut. 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.

Connecticut· 51st of 51

$12.59

ND $37.15CT $12.59

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.