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Rapid Test For Adenovirus

New Jersey 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?

$13.18

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $31.62 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 5 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$10.96$9.77 to $12.30
FacilityA hospital or hospital-owned outpatient department$31.62$19.05 to $83.18

How much rates vary

Facilitymedian $32 · 10th to 90th $14 to $151Professionalmedian $11 · 10th to 90th $6 to $32
$10$100$1K$10Kfacility $32professional $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
$16.60
Median
$21.88
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.22
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$31.62
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.48
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.24
Typical High
$13.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$14.45
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$16.22

Where New Jersey sits

The same service costs 2.3 times more in South Dakota than in Maryland. 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.

New Jersey· 35th of 51

$13.18

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.