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Rapid Antigen Test For One Organism

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $39.81 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$19.95$15.85 to $24.55
FacilityA hospital or hospital-owned outpatient department$39.81$24.55 to $107

How much rates vary

Facilitymedian $40 · 10th to 90th $25 to $110Professionalmedian $20 · 10th to 90th $10 to $30
$10$20$50$100facility $40professional $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
$24.55
Median
$24.55
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$19.95
Typical High
$24.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$107.15
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.18
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$28.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$29.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$109.65
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$21.88
Typical High
$38.02

Where Maine 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.

Maine· 22nd 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.