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RSV Rapid Antigen Test

Vermont 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?

$19.95

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $141 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$17.38$15.14 to $19.95
FacilityA hospital or hospital-owned outpatient department$141$23.44 to $204

How much rates vary

Facilitymedian $141 · 10th to 90th $14 to $240Professionalmedian $17 · 10th to 90th $12 to $20
$5$10$20$50$100$200facility $141professional $17

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$19.95
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$204.17
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$16.98
Typical High
$20.42
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$16.60
Typical High
$32.36

Where Vermont 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.

Vermont· 5th of 51

$19.95

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.