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RSV Rapid Antigen Test

Ohio 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 Ohio, 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 $21.38 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 8 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$7.08 to $13.18
FacilityA hospital or hospital-owned outpatient department$21.38$13.80 to $34.67

How much rates vary

Facilitymedian $21 · 10th to 90th $11 to $48Professionalmedian $11 · 10th to 90th $6 to $31
$10$20$50$100facility $21professional $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
$28.18
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$45.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$14.79
Typical High
$25.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.08
Typical High
$10.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$15.85
CareSource
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$18.20
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$23.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$38.90
Typical High
$93.33
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.32
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.48
Typical High
$17.38
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$14.45
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$13.80
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.32
Typical High
$16.60

Where Ohio 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.

Ohio· 37th 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.