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Rapid Antigen Test For One Organism

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $37.15 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$19.95$19.05 to $22.91
FacilityA hospital or hospital-owned outpatient department$37.15$26.30 to $63.10

How much rates vary

Facilitymedian $37 · 10th to 90th $21 to $91Professionalmedian $20 · 10th to 90th $10 to $38
$10$20$50$100facility $37professional $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
$20.89
Median
$38.02
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$19.95
Typical High
$57.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$33.88
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$21.38
Typical High
$36.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.49
Typical High
$35.48
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$42.66
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$38.02
Typical High
$87.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$19.95
Typical High
$72.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$48.98
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$24.55
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$24.55
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$30.90

Where Pennsylvania 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.

Pennsylvania· 30th 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.