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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 October 2026.

How much does RSV Genetic Test cost?

$72.44

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $72.44 for this service. Most negotiated rates run $41.69 to $97.72.

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.

How much rates vary

Facilitymedian $93 · 10th to 90th $65 to $182Professionalmedian $58 · 10th to 90th $35 to $112
$50$100$200facility $93professional $58

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$57.54
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$93.33
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$41.69
Typical High
$95.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$112.20
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$89.13
Typical High
$162.18
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$102.33
Typical High
$134.90
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$41.69
Typical High
$93.33
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.44
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.33
Median
$11.48
Typical High
$11.48

Where Connecticut sits

The same service costs 4.0 times more in Alaska than in Alabama. 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.

Connecticut· 25th of 51

$72.44

AK $158AL $39.81

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.