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Rapid Antigen Test For One Organism

West 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?

$19.95

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $30.90 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 4 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$19.50$18.62 to $19.95
FacilityA hospital or hospital-owned outpatient department$30.90$19.95 to $37.15

How much rates vary

Facilitymedian $31 · 10th to 90th $20 to $37Professionalmedian $19 · 10th to 90th $11 to $21
$10$20$50$100facility $31professional $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
$19.95
Median
$30.90
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$19.50
Typical High
$20.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$50.12
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$35.48
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.51
Typical High
$16.60

Where West 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.

West Virginia· 41st 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.