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Rapid Antigen Test For One Organism

Illinois 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?

$29.51

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $38.90 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$20.89$19.05 to $35.48
FacilityA hospital or hospital-owned outpatient department$38.90$25.12 to $50.12

How much rates vary

Facilitymedian $39 · 10th to 90th $20 to $68Professionalmedian $21 · 10th to 90th $11 to $50
$5$10$20$50$100$200facility $39professional $21

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
$19.95
Median
$38.90
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$20.89
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$37.15
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$51.29
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$25.12
Typical High
$35.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$38.90
Typical High
$102.33
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$30.90
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.47
Typical High
$21.38

Where Illinois 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.

Illinois· 7th of 51

$29.51

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.