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RSV Rapid Antigen Test

Maryland 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?

$11.48

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $39.81 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 6 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$11.48$10.23 to $16.98
FacilityA hospital or hospital-owned outpatient department$39.81$9.77 to $67.61

How much rates vary

Facilitymedian $40 · 10th to 90th $7 to $138Professionalmedian $11 · 10th to 90th $9 to $60
$5.0$10.0$20.0$50.0$100.0facility $40professional $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. 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
Global
Typical Low
$13.80
Median
$54.95
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$64.57
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$11.22
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$13.18
Typical High
$33.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$6.61
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.08
Typical High
$14.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.92
Typical High
$13.80

Where Maryland sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $11.48 · 45th of 51
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.