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COVID-19 Rapid Antigen Test

Vermont 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?

$45.71

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $41.69 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$45.71$45.71 to $50.12
FacilityA hospital or hospital-owned outpatient department$41.69$35.48 to $48.98

How much rates vary

Facilitymedian $42 · 10th to 90th $35 to $54Professionalmedian $46 · 10th to 90th $35 to $66
$20$50facility $42professional $46

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
$35.48
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$44.67
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$40.74
Typical High
$45.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$67.61

Where Vermont sits

The same service costs 1.7 times more in Wyoming than in Oklahoma. 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· 35th of 51

$45.71

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.