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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 July 2026.

How much does RSV Rapid Antigen Test cost?

$11.22

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $14.45 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$11.22$5.89 to $12.88
FacilityA hospital or hospital-owned outpatient department$14.45$11.48 to $50.12

How much rates vary

Facilitymedian $14 · 10th to 90th $11 to $110Professionalmedian $11 · 10th to 90th $6 to $19
$5$10$20$50$100$200$500facility $14professional $11

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
$11.48
Median
$17.38
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.48
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$13.80
Typical High
$14.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$15.85
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$19.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.38
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$13.80
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.55
Typical High
$16.60

Where Kentucky 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.

Kentucky· 48th of 51

$11.22

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.