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RSV Genetic Test

Connecticut rates for HCPCS 87634

This is a laboratory test that checks a respiratory sample, such as a nasal or throat swab, for the genetic material of respiratory syncytial virus, a common cause of cold-like illness that can be more serious in infants, young children, and older adults. It uses a sensitive amplification method to detect even small amounts of the virus.

Rates data updated July 2026.

How much does RSV Genetic Test cost?

$87.10

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $117 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$72.44$46.77 to $182
FacilityA hospital or hospital-owned outpatient department$117$79.43 to $155

How much rates vary

Facilitymedian $117 · 10th to 90th $71 to $195Professionalmedian $72 · 10th to 90th $47 to $427
$20.0$50.0$100.0$200.0$500.0facility $117professional $72

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
$70.79
Median
$125.89
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$81.28
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$165.96
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$158.49
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$58.88
Typical High
$120.23

Where Connecticut sits

The same service costs 2.8 times more in Iowa than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $87.10 · 12th of 51
IA $148DC $52.48

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.