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Rapid Antigen Test For One Organism

New Jersey 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?

$20.89

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $12.30 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 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$12.30$9.77 to $20.89
FacilityA hospital or hospital-owned outpatient department$38.90$21.38 to $120

How much rates vary

Facilitymedian $39 · 10th to 90th $21 to $178Professionalmedian $12 · 10th to 90th $8 to $32
$10$100$1K$10Kfacility $39professional $12

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
$21.38
Median
$31.62
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.22
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$53.70
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$14.79
Typical High
$37.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$14.45
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$24.55
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$14.79
Typical High
$17.38

Where New Jersey 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.

New Jersey· 26th of 51

$20.89

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.