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Rapid Antigen Test For One Organism

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $26.30 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$18.62$15.14 to $20.89
FacilityA hospital or hospital-owned outpatient department$26.30$24.55 to $56.23

How much rates vary

Facilitymedian $26 · 10th to 90th $19 to $105Professionalmedian $19 · 10th to 90th $10 to $47
$10$100$1K$10Kfacility $26professional $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. 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
$54.95
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$19.05
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$16.60
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$40.74
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.59
Typical High
$28.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$36.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$19.95
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$24.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$51.29
Sentara
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.84
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$24.55
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.23
Typical High
$16.60

Where Virginia 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.

Virginia· 28th 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.