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Rapid Test For Adenovirus

Delaware rates for HCPCS 87260

A laboratory test that looks directly for adenovirus, a common cause of colds, sore throat, pink eye, and diarrhea, in a swab or other sample. Antibodies tagged with a fluorescent dye bind to the virus if it is present, making the sample glow under a special microscope. It gives a faster answer than growing the virus in culture.

Rates data updated July 2026.

How much does Rapid Test For Adenovirus cost?

$12.02

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $16.60 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$12.02$11.48 to $43.65
FacilityA hospital or hospital-owned outpatient department$16.60$16.60 to $16.60

How much rates vary

Facilitymedian $17 · 10th to 90th $17 to $17Professionalmedian $12 · 10th to 90th $11 to $44
$10.0$20.0$50.0facility $17professional $12

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
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.02
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.51
Typical High
$22.39
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.33
Typical High
$16.60

Where Delaware sits

The same service costs 2.3 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Delaware $12.02 · 40th of 51
SD $25.12MD $10.72

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.