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RSV Rapid Antigen Test

Michigan 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?

$13.18

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 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 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$13.18$10.96 to $14.79
FacilityA hospital or hospital-owned outpatient department$14.45$13.18 to $20.42

How much rates vary

Facilitymedian $14 · 10th to 90th $13 to $26Professionalmedian $13 · 10th to 90th $10 to $21
$5.0$10.0$20.0$50.0facility $14professional $13

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
$13.18
Median
$14.45
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.18
Typical High
$20.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$15.85
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.47
Typical High
$10.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.22
Typical High
$19.95
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$24.55
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$21.38
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$16.60

Where Michigan 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.

Michigan $13.18 · 34th 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.