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Rapid Antigen Test For One Organism

Kentucky 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?

$19.50

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $21.88 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$19.05$9.55 to $20.42
FacilityA hospital or hospital-owned outpatient department$21.88$19.95 to $50.12

How much rates vary

Facilitymedian $22 · 10th to 90th $19 to $59Professionalmedian $19 · 10th to 90th $10 to $34
$10$20$50$100facility $22professional $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
$19.50
Median
$19.95
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.95
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$24.55
Typical High
$25.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$15.85
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$34.67
CareSource
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$50.12
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$117.49
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$24.55
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.47
Typical High
$24.55

Where Kentucky 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.

Kentucky· 43rd of 51

$19.50

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.