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RSV Rapid Antigen Test

New Mexico 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?

$16.60

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $52.48 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 5 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$11.75$10.47 to $18.62
FacilityA hospital or hospital-owned outpatient department$52.48$20.89 to $95.50

How much rates vary

Facilitymedian $52 · 10th to 90th $13 to $141Professionalmedian $12 · 10th to 90th $9 to $65
$10$100$1K$10K$100Kfacility $52professional $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
$20.89
Median
$44.67
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$89.13
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.48
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$18.62
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$20.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$18.62
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$13.18
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.08
Typical High
$10.47

Where New Mexico 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.

New Mexico· 11th of 51

$16.60

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.