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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 July 2026.

How much does RSV Rapid Antigen Test cost?

$12.30

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $43.65 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 7 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$11.22$11.22 to $16.98
FacilityA hospital or hospital-owned outpatient department$43.65$13.80 to $56.23

How much rates vary

Facilitymedian $44 · 10th to 90th $11 to $148Professionalmedian $11 · 10th to 90th $10 to $21
$10$20$50$100$200facility $44professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$51.29
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.22
Typical High
$20.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$26.92
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$9.55
Typical High
$20.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$39.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$15.14
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$16.60
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.13
Typical High
$16.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18

Where North Carolina 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.

North Carolina· 41st of 51

$12.30

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.