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Rapid Antigen Test For One Organism

Indiana 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?

$19.95

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $24.55 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$19.95$9.77 to $19.95
FacilityA hospital or hospital-owned outpatient department$24.55$24.55 to $48.98

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $74Professionalmedian $20 · 10th to 90th $6 to $22
$10$20$50$100$200facility $25professional $20

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
$26.92
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.95
Typical High
$21.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.71
Typical High
$18.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$24.55
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$21.88
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$24.55
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.47
Typical High
$26.92

Where Indiana 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.

Indiana· 35th of 51

$19.95

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.