go back

Rapid Test For Adenovirus

Ohio 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?

$13.49

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $20.42 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 8 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$11.22$7.24 to $14.13
FacilityA hospital or hospital-owned outpatient department$20.42$14.45 to $31.62

How much rates vary

Facilitymedian $20 · 10th to 90th $11 to $47Professionalmedian $11 · 10th to 90th $6 to $28
$5.0$10.0$20.0$50.0$100.0facility $20professional $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
$11.75
Median
$27.54
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.02
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$15.14
Typical High
$26.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$17.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$16.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$17.78
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.94
Typical High
$23.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$18.62
Typical High
$58.88
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.94
Typical High
$22.39
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.02
Typical High
$17.38
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$15.14
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$14.45
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$16.60

Where Ohio 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.

Ohio $13.49 · 32nd 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.