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Rapid Antigen Test For One Organism

Iowa 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?

$25.12

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $37.15 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 7 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$19.05$16.22 to $48.98
FacilityA hospital or hospital-owned outpatient department$37.15$24.55 to $64.57

How much rates vary

Facilitymedian $37 · 10th to 90th $19 to $71Professionalmedian $19 · 10th to 90th $15 to $162
$10$20$50$100facility $37professional $19

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
$19.05
Median
$57.54
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.05
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$58.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$56.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$29.51
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$21.88
Typical High
$53.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$30.20
Typical High
$32.36
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$51.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$24.55
Typical High
$24.55

Where Iowa 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.

Iowa· 13th of 51

$25.12

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.