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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 October 2026.

How much does RSV Rapid Antigen Test cost?

$16.60

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $21.38 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.80$10.00 to $26.92
FacilityA hospital or hospital-owned outpatient department$21.38$17.78 to $33.11

How much rates vary

Facilitymedian $21 · 10th to 90th $14 to $44Professionalmedian $14 · 10th to 90th $8 to $34
$10$20$50$100facility $21professional $14

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$21.38
Typical High
$38.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$10.96
Typical High
$15.14
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$26.92
Typical High
$33.88
Hally Health
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$25.12
Typical High
$39.81
Medica
Setting
Facility
Modifier
None
Typical Low
$16.60
Median
$23.44
Typical High
$63.10
Medica
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$14.79
Typical High
$33.88
Midlands
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Midlands
Setting
Facility
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$35.48
United
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$10.47
Typical High
$16.60
Wellmark
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$13.80
Typical High
$13.80
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Cigna
Setting
Facility
Modifier
QW · Waived lab test
Typical Low
$16.60
Median
$16.60
Typical High
$16.60

Where Iowa sits

The same service costs 3.3 times more in Kansas than in New Jersey. 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· 12th of 51

$16.60

KS $32.36NJ $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.