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RSV Rapid Antigen Test

North Carolina 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 October 2026.

How much does RSV Rapid Antigen Test cost?

$11.22

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $17.38 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.72$7.94 to $13.80
FacilityA hospital or hospital-owned outpatient department$17.38$11.22 to $36.31

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $63Professionalmedian $11 · 10th to 90th $7 to $18
$10$20$50facility $17professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.22
Median
$12.88
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$11.22
Typical High
$15.14
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Ambetter
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$48.98
Typical High
$48.98
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$30.20
Typical High
$63.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$13.18
Typical High
$20.42
Medcost
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$39.81
Typical High
$39.81
Medcost
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$11.22
Typical High
$23.99
Medcost
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$16.60
Typical High
$23.99
United
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$8.13
Typical High
$15.49

Where North Carolina sits

The same service costs 3.3 times more in Kansas than in New Jersey. 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.

North Carolina· 41st of 51

$11.22

KS $32.36NJ $9.77

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.