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Influenza Antigen Test (A or B)

Rhode Island rates for HCPCS 87400

A laboratory test on a swab from the nose or throat that looks for proteins from the influenza virus to confirm flu. Influenza A and influenza B are looked for separately, so a result is reported for each type checked.

Rates data updated July 2026.

How much does Influenza Antigen Test (A or B) cost?

$12.59

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $36.31 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 4 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$12.59$10.72 to $12.59
FacilityA hospital or hospital-owned outpatient department$36.31$16.98 to $75.86

How much rates vary

Facilitymedian $36 · 10th to 90th $16 to $78Professionalmedian $13 · 10th to 90th $9 to $19
$10$20$50facility $36professional $13

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
$19.50
Median
$48.98
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.59
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.72
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$28.84
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.59
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$16.60
Typical High
$23.44

Where Rhode Island sits

The same service costs 5.8 times more in Nebraska than in Washington, DC. 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.

Rhode Island· 42nd of 51

$12.59

NE $61.66DC $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.