go back

Rapid Test For Adenovirus

New York 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?

$12.30

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.00 from a physician practice, and about $22.91 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 9 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$10.00$6.46 to $14.45
FacilityA hospital or hospital-owned outpatient department$22.91$14.45 to $33.11

How much rates vary

Facilitymedian $23 · 10th to 90th $10 to $40Professionalmedian $10 · 10th to 90th $6 to $23
$10.0$100.0$1.0K$10.0Kfacility $23professional $10

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
$10.00
Median
$23.99
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.22
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.03
Typical High
$25.70
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$14.45
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$30.90
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$17.78
Typical High
$81.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$16.60
Typical High
$34.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$28.18
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$17.38
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$25.70
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.45
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$16.98
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.55
Typical High
$33.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$27.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$38.90

Where New York 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.

New York $12.30 · 38th 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.