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Rapid Test For Adenovirus

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $16.98 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$10.72$9.77 to $12.30
FacilityA hospital or hospital-owned outpatient department$16.98$14.45 to $35.48

How much rates vary

Facilitymedian $17 · 10th to 90th $12 to $72Professionalmedian $11 · 10th to 90th $6 to $32
$10.0$100.0$1.0K$10.0Kfacility $17professional $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
$12.30
Median
$32.36
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$10.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$30.90
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$20.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$21.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$19.95
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$30.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.05
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$19.05
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$14.45
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.41
Typical High
$14.45

Where Virginia 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.

Virginia $12.30 · 37th 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.