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Rapid Antigen Test For One Organism

Vermont 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?

$19.95

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $89.13 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 5 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$19.95 to $19.95
FacilityA hospital or hospital-owned outpatient department$89.13$24.55 to $195

How much rates vary

Facilitymedian $89 · 10th to 90th $9 to $204Professionalmedian $20 · 10th to 90th $15 to $29
$10$20$50$100$200facility $89professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$28.18
Typical High
$35.48
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$53.70

Where Vermont 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.

Vermont· 37th of 51

$19.95

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.