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Rapid Test For Adenovirus

Vermont 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?

$17.38

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $89.13 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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$17.38$9.33 to $19.95
FacilityA hospital or hospital-owned outpatient department$89.13$23.99 to $195

How much rates vary

Facilitymedian $89 · 10th to 90th $14 to $204Professionalmedian $17 · 10th to 90th $9 to $22
$10$20$50$100$200facility $89professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$194.98
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$17.38
Typical High
$21.38
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$10.00
Typical High
$25.70

Where Vermont 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.

Vermont· 12th of 51

$17.38

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.