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RSV Rapid Antigen Test

Kentucky 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?

$10.00

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $12.59 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.77$6.46 to $13.80
FacilityA hospital or hospital-owned outpatient department$12.59$11.75 to $26.92

How much rates vary

Facilitymedian $13 · 10th to 90th $11 to $50Professionalmedian $10 · 10th to 90th $6 to $16
$5$10$20$50facility $13professional $10

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
Facility
Modifier
None
Typical Low
$11.22
Median
$11.75
Typical High
$12.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.75
Typical High
$13.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$13.80
Typical High
$14.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$9.77
Typical High
$15.85
CareSource
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$16.60
Typical High
$19.50
CareSource
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$17.38
Typical High
$27.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$9.55
Typical High
$15.85
3 more rates 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
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.62
Median
$5.89
Typical High
$6.92
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.24
Median
$2.34
Typical High
$2.75
Ambetter
Setting
Professional
Modifier
QW · Waived lab test
Typical Low
$11.75
Median
$11.75
Typical High
$11.75

Where Kentucky 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.

Kentucky· 49th of 51

$10.00

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.