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Rapid Antigen Test For One Organism

New York 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 York, 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 9 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$6.46 to $20.89
FacilityA hospital or hospital-owned outpatient department$38.90$24.55 to $56.23

How much rates vary

Facilitymedian $39 · 10th to 90th $17 to $68Professionalmedian $12 · 10th to 90th $6 to $35
$5$10$20$50$100$200facility $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
$17.38
Median
$40.74
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.22
Typical High
$24.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$35.48
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$24.55
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$52.48
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$26.92
Typical High
$117.49
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$24.55
Typical High
$54.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.79
Typical High
$47.86
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$18.62
Typical High
$25.70
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$46.77
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$15.85
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$30.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.79
Typical High
$54.95
Univera
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$27.54
Typical High
$38.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$23.44
Typical High
$42.66

Where New York 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 York· 32nd 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.