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Rapid Antigen Test For One Organism

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $31.62 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$17.78$10.72 to $23.44
FacilityA hospital or hospital-owned outpatient department$31.62$24.55 to $53.70

How much rates vary

Facilitymedian $32 · 10th to 90th $19 to $81Professionalmedian $18 · 10th to 90th $10 to $46
$10$20$50$100facility $32professional $18

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
$19.95
Median
$41.69
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$20.89
Typical High
$81.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$45.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$28.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$28.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$29.51
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.75
Typical High
$37.15
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$31.62
Typical High
$100.00
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.22
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$21.88
Typical High
$30.20
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.70
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$24.55
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.47
Typical High
$24.55

Where Ohio 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.

Ohio· 27th 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.