go back

Rapid Antigen Test For One Organism

South Dakota 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?

$32.36

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $46.77 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 6 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$32.36$19.05 to $57.54
FacilityA hospital or hospital-owned outpatient department$46.77$44.67 to $46.77

How much rates vary

Facilitymedian $47 · 10th to 90th $23 to $47Professionalmedian $32 · 10th to 90th $17 to $59
$10$20$50$100facility $47professional $32

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
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.05
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$58.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$27.54
Typical High
$52.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$24.55
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$50.12
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$28.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55

Where South Dakota 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.

South Dakota· 4th of 51

$32.36

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.