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RSV Rapid Antigen Test

Montana 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?

$13.80

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $22.39 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$12.30$11.22 to $18.62
FacilityA hospital or hospital-owned outpatient department$22.39$17.38 to $48.98

How much rates vary

Facilitymedian $22 · 10th to 90th $17 to $174Professionalmedian $12 · 10th to 90th $11 to $60
$10.0$100.0$1.0K$10.0K$100.0Kfacility $22professional $12

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
$125.89
Median
$151.36
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.75
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$48.98
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$26.92
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$16.22
Typical High
$19.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$18.62
Typical High
$41.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.62
Typical High
$41.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$79.43
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.92
Typical High
$16.60

Where Montana 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.

Montana $13.80 · 30th 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.