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Influenza Antigen Test (A or B)

Vermont 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?

$16.98

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $16.98 from a physician practice, and about $129 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 5 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$16.98$15.85 to $19.95
FacilityA hospital or hospital-owned outpatient department$129$89.13 to $141

How much rates vary

Facilitymedian $129 · 10th to 90th $14 to $195Professionalmedian $17 · 10th to 90th $14 to $20
$5$10$20$50$100$200facility $129professional $17

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.98
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$16.98
Typical High
$20.42
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$16.60
Typical High
$32.36

Where Vermont 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.

Vermont· 24th of 51

$16.98

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.