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RSV Genetic Test

Illinois 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?

$77.62

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $145 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$70.79$56.23 to $85.11
FacilityA hospital or hospital-owned outpatient department$145$107 to $191

How much rates vary

Facilitymedian $145 · 10th to 90th $69 to $245Professionalmedian $71 · 10th to 90th $3 to $145
$5.0$20.0$100.0$500.0facility $145professional $71

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
$67.61
Median
$144.54
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$371.54
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$53.70
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$95.50
Typical High
$128.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$323.59
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$47.86
Typical High
$100.00

Where Illinois 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.

Illinois $77.62 · 27th 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.