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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 October 2026.

How much does RSV Rapid Antigen Test cost?

$17.38

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $195 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.22$9.55 to $19.95
FacilityA hospital or hospital-owned outpatient department$195$23.44 to $229

How much rates vary

Facilitymedian $195 · 10th to 90th $14 to $309Professionalmedian $16 · 10th to 90th $8 to $22
$10$20$50$100$200facility $195professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$19.95
Typical High
$19.95
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$204.17
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$16.98
Typical High
$20.42
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$10.00
Typical High
$25.70

Where Vermont sits

The same service costs 3.3 times more in Kansas than in New Jersey. 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· 11th of 51

$17.38

KS $32.36NJ $9.77

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.