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RSV Rapid Antigen Test

Iowa rates for HCPCS 87420

This test checks a nasal or respiratory sample for proteins from respiratory syncytial virus, commonly called RSV, using a rapid immune-based method. It helps quickly identify RSV as the cause of cold-like or breathing symptoms, which is especially useful in infants, young children, and older adults who are more vulnerable to this virus. A positive result confirms current infection.

Rates data updated July 2026.

How much does RSV Rapid Antigen Test cost?

$22.91

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $23.99 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$22.91$10.96 to $64.57
FacilityA hospital or hospital-owned outpatient department$23.99$16.60 to $38.02

How much rates vary

Facilitymedian $24 · 10th to 90th $14 to $63Professionalmedian $23 · 10th to 90th $10 to $81
$10$20$50$100$200$500facility $24professional $23

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
$13.80
Median
$26.30
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$22.91
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$33.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$25.12
Typical High
$41.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$18.20
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$14.79
Typical High
$33.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.00
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$13.80

Where Iowa sits

The same service costs 2.5 times more in Hawaii 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.

Iowa· 2nd of 51

$22.91

HI $25.70DC $10.47

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.