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Rapid Test For Adenovirus

North Carolina 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?

$11.48

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $14.13 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$11.48$10.72 to $11.48
FacilityA hospital or hospital-owned outpatient department$14.13$11.48 to $31.62

How much rates vary

Facilitymedian $14 · 10th to 90th $10 to $48Professionalmedian $11 · 10th to 90th $8 to $19
$10.0$20.0$50.0$100.0facility $14professional $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
$11.48
Median
$12.88
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.72
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$28.18
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$20.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$26.30
Typical High
$60.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$16.60
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.13
Typical High
$16.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91

Where North Carolina 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.

North Carolina $11.48 · 44th 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.