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COVID-19 Rapid Antigen Test

South Dakota rates for HCPCS 87426

This test checks a sample, usually from a nasal or throat swab, for viral proteins from the virus that causes COVID-19. It is a fast method for detecting an active infection, though it is generally considered somewhat less sensitive than molecular PCR-based testing.

Rates data updated July 2026.

How much does COVID-19 Rapid Antigen Test cost?

$50.12

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $66.07 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$50.12$45.71 to $67.61
FacilityA hospital or hospital-owned outpatient department$66.07$56.23 to $66.07

How much rates vary

Facilitymedian $66 · 10th to 90th $50 to $245Professionalmedian $50 · 10th to 90th $35 to $85
$20.0$50.0$100.0$200.0facility $66professional $50

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
$56.23
Median
$66.07
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$67.61
Avera
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$47.86
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$26.92
Typical High
$47.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48

Where South Dakota sits

The same service costs 1.7 times more in Wyoming than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $50.12 · 13th of 51
WY $70.79OK $40.74

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.