go back

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 October 2026.

How much does RSV Genetic Test cost?

$81.28

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $91.20 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$46.77 to $135
FacilityA hospital or hospital-owned outpatient department$91.20$85.11 to $148

How much rates vary

Facilitymedian $91 · 10th to 90th $71 to $186Professionalmedian $71 · 10th to 90th $42 to $339
$50$100$200facility $91professional $71

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
Facility
Modifier
None
Typical Low
$54.95
Median
$107.15
Typical High
$199.53
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$60.26
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$134.90
Typical High
$169.82
Hally Health
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$109.65
Typical High
$234.42
Medica
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$91.20
Typical High
$177.83
Medica
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$85.11
Typical High
$354.81
Midlands
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$75.86
Typical High
$147.91
United
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$177.83
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$169.82
Wellmark
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
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
$27.54
Median
$27.54
Typical High
$41.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.96
Median
$10.96
Typical High
$16.98

Where Iowa 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.

Iowa· 19th of 51

$81.28

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.