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Rapid Antigen Test For One Organism

Massachusetts 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?

$24.55

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $43.65 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 8 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$24.55$14.79 to $28.18
FacilityA hospital or hospital-owned outpatient department$43.65$28.18 to $63.10

How much rates vary

Facilitymedian $44 · 10th to 90th $18 to $76Professionalmedian $25 · 10th to 90th $11 to $51
$10$50$200$1Kfacility $44professional $25

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
$10.96
Median
$35.48
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.59
Typical High
$51.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$28.18
Typical High
$117.49
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$21.88
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$48.98
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$22.91
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$23.99
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$26.30
Typical High
$64.57
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$117.49
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$41.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$52.48
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$28.18
Typical High
$117.49
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$21.88
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$19.95
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$18.62
Typical High
$48.98

Where Massachusetts 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.

Massachusetts· 18th of 51

$24.55

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.