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Rapid Test For Adenovirus

Missouri 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?

$16.60

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $25.70 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$14.13$8.71 to $25.12
FacilityA hospital or hospital-owned outpatient department$25.70$17.38 to $48.98

How much rates vary

Facilitymedian $26 · 10th to 90th $14 to $148Professionalmedian $14 · 10th to 90th $6 to $26
$10$20$50$100facility $26professional $14

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
$12.30
Median
$19.95
Typical High
$26.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$12.30
Typical High
$15.14
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$17.78
Typical High
$26.92
BCBS Kansas City
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$23.99
Typical High
$45.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$31.62
Typical High
$69.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$16.60
Typical High
$25.12
Medica
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$30.90
Typical High
$147.91
Medica
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$10.00
Typical High
$17.38
United
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$8.91
Typical High
$19.50
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
$6.17
Median
$6.17
Typical High
$8.32
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.45
Median
$2.45
Typical High
$3.31

Where Missouri 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.

Missouri· 16th of 51

$16.60

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.