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RSV Rapid Antigen Test

New Jersey 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?

$9.77

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $21.38 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.77$8.51 to $11.22
FacilityA hospital or hospital-owned outpatient department$21.38$9.77 to $43.65

How much rates vary

Facilitymedian $21 · 10th to 90th $10 to $68Professionalmedian $10 · 10th to 90th $7 to $16
$10$20$50$100facility $21professional $10

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
$8.51
Median
$9.77
Typical High
$16.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$9.77
Typical High
$15.14
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$4.27
Median
$4.27
Typical High
$5.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.70
Median
$1.70
Typical High
$2.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$30.20
Typical High
$67.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$15.49
Typical High
$24.55
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$6.92
Typical High
$8.13
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$13.80
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
United
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$8.32
Typical High
$14.13

Where New Jersey 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.

New Jersey· 51st of 51

$9.77

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.