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RSV Genetic Test

Iowa 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?

$148

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $107 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 8 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$148$72.44 to $257
FacilityA hospital or hospital-owned outpatient department$107$70.79 to $166

How much rates vary

Facilitymedian $107 · 10th to 90th $66 to $204Professionalmedian $148 · 10th to 90th $54 to $437
$10.0$20.0$50.0$100.0$200.0$500.0facility $107professional $148

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
$54.95
Median
$117.49
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$169.82
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$169.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$338.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where Iowa 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.

Iowa $148 · 1st 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.