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Rapid Test For Adenovirus

Indiana 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 October 2026.

How much does Rapid Test For Adenovirus cost?

$10.72

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $14.45 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.55$5.89 to $14.45
FacilityA hospital or hospital-owned outpatient department$14.45$12.88 to $33.88

How much rates vary

Facilitymedian $14 · 10th to 90th $11 to $44Professionalmedian $10 · 10th to 90th $6 to $26
$10$50$200$1Kfacility $14professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$21.88
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$11.75
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$14.45
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$7.76
Typical High
$15.85
CareSource
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.33
Median
$14.45
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$16.98
Typical High
$32.36
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$36.31
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$11.75
Typical High
$13.49
United
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$9.77
Typical High
$17.38
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.37
Median
$5.89
Typical High
$28.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.14
Median
$2.34
Typical High
$11.48

Where Indiana sits

The same service costs 3.9 times more in Kansas than in Nebraska. 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.

Indiana· 47th of 51

$10.72

KS $38.02NE $9.77

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.