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Rapid Test For Adenovirus

South Dakota 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?

$25.12

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $28.18 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 7 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$21.88$11.22 to $33.88
FacilityA hospital or hospital-owned outpatient department$28.18$19.05 to $28.18

How much rates vary

Facilitymedian $28 · 10th to 90th $16 to $28Professionalmedian $22 · 10th to 90th $10 to $35
$10.0$20.0$50.0$100.0facility $28professional $22

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
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.22
Typical High
$13.49
Avera
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$18.62
Typical High
$58.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$17.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.88
Typical High
$20.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45

Where South Dakota 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.

South Dakota $25.12 · 1st 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.