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Rapid Test For Adenovirus

Maryland 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 Maryland, October 2026.

Insurers have agreed to pay about $10.72 for this service. Most negotiated rates run $9.12 to $11.48.

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.

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $19Professionalmedian $11 · 10th to 90th $7 to $14
$10$20facility $10professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
CareFirst
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$9.55
Typical High
$18.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$13.18
Typical High
$35.48
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$16.60
Typical High
$25.12
United
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$7.24
Typical High
$12.02
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$11.75
Typical High
$11.75
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
$5.37
Typical High
$5.37
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.14
Median
$2.14
Typical High
$2.14

Where Maryland 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.

Maryland· 46th 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.