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Rapid Test For Adenovirus

Illinois 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?

$13.80

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $22.91 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$11.22$10.00 to $14.79
FacilityA hospital or hospital-owned outpatient department$22.91$14.79 to $29.51

How much rates vary

Facilitymedian $23 · 10th to 90th $12 to $55Professionalmedian $11 · 10th to 90th $3 to $30
$5.0$10.0$20.0$50.0$100.0$200.0facility $23professional $11

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
$11.75
Median
$22.39
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$52.48
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$10.00
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$30.20
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$16.98
Typical High
$25.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$25.12
Typical High
$109.65
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.45
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.12
Typical High
$16.22

Where Illinois 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.

Illinois $13.80 · 31st 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.