go back

RSV Rapid Antigen Test

New York 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?

$13.18

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $22.91 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 9 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$6.46 to $14.79
FacilityA hospital or hospital-owned outpatient department$22.91$13.80 to $32.36

How much rates vary

Facilitymedian $23 · 10th to 90th $10 to $38Professionalmedian $11 · 10th to 90th $6 to $25
$5$10$20$50$100facility $23professional $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
$9.77
Median
$24.55
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.22
Typical High
$23.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.03
Typical High
$25.70
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$13.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.80
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$36.31
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$17.78
Typical High
$81.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$15.85
Typical High
$34.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.32
Typical High
$26.92
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.75
Typical High
$16.60
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$25.12
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.80
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$16.60
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.33
Typical High
$33.88
Univera
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$27.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.18
Typical High
$38.90

Where New York 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 York· 39th of 51

$13.18

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.