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RSV Rapid Antigen Test

Utah 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?

$14.45

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $81.28 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$12.88$10.72 to $15.14
FacilityA hospital or hospital-owned outpatient department$81.28$15.14 to $107

How much rates vary

Facilitymedian $81 · 10th to 90th $14 to $115Professionalmedian $13 · 10th to 90th $10 to $16
$10$20$50$100$200facility $81professional $13

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
$15.14
Median
$81.28
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.18
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.45
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$20.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$56.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.75
Typical High
$12.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Select Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.80
Typical High
$18.20
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.88
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$9.12
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.08
Typical High
$16.60

Where Utah 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.

Utah· 23rd of 51

$14.45

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.