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Rapid Test For Adenovirus

South 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 October 2026.

How much does Rapid Test For Adenovirus cost?

$30.20

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $43.65 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.50$14.45 to $30.20
FacilityA hospital or hospital-owned outpatient department$43.65$31.62 to $74.13

How much rates vary

Facilitymedian $44 · 10th to 90th $23 to $89Professionalmedian $19 · 10th to 90th $9 to $35
$10$20$50$100facility $44professional $19

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
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.48
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$48.98
Typical High
$89.13
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$30.20
Typical High
$34.67
Cigna
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$36.31
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$7.76
Typical High
$16.98
Medcost
Setting
Facility
Modifier
None
Typical Low
$10.00
Median
$14.45
Typical High
$19.95
Medcost
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$20.42
Typical High
$21.88
United
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$17.38
United
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$8.71
Typical High
$17.38
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
$5.62
Median
$5.62
Typical High
$5.75
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.24
Median
$2.24
Typical High
$2.29

Where South Carolina 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.

South Carolina· 3rd of 51

$30.20

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.