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RSV Rapid Antigen Test

Massachusetts 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?

$15.85

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $29.51 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 9 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$13.80$12.59 to $20.89
FacilityA hospital or hospital-owned outpatient department$29.51$18.20 to $40.74

How much rates vary

Facilitymedian $30 · 10th to 90th $11 to $72Professionalmedian $14 · 10th to 90th $11 to $35
$10$50$200$1Kfacility $30professional $14

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
$10.96
Median
$30.20
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.59
Typical High
$51.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$83.18
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$29.51
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$19.05
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.22
Typical High
$23.99
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$19.50
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$18.20
Typical High
$23.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$34.67
Health New England
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$64.57
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$83.18
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$13.80
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$31.62

Where Massachusetts 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.

Massachusetts· 16th of 51

$15.85

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.