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Rapid Antigen Test For One Organism

New Mexico 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 New Mexico, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $23.44 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$18.62$18.62 to $29.51
FacilityA hospital or hospital-owned outpatient department$23.44$16.60 to $74.13

How much rates vary

Facilitymedian $23 · 10th to 90th $10 to $79Professionalmedian $19 · 10th to 90th $10 to $162
$10$20$50$100facility $23professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$74.13
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$29.51
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$21.88
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$18.62
Typical High
$26.92
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$21.88
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$20.42
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.41
Typical High
$16.60

Where New Mexico 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 Mexico· 38th 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.