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RSV Rapid Antigen Test

West Virginia 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?

$11.75

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $21.88 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$11.22$10.47 to $11.75
FacilityA hospital or hospital-owned outpatient department$21.88$20.89 to $40.74

How much rates vary

Facilitymedian $22 · 10th to 90th $11 to $93Professionalmedian $11 · 10th to 90th $8 to $13
$10$20$50$100$200facility $22professional $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
$11.48
Median
$21.88
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.22
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
CareSource
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$41.69
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$23.44
Typical High
$81.28
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.76
Typical High
$16.60

Where West Virginia 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.

West Virginia· 44th of 51

$11.75

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.