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RSV Genetic Test

Indiana 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?

$70.79

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $155 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 6 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$57.54$52.48 to $63.10
FacilityA hospital or hospital-owned outpatient department$155$70.79 to $257

How much rates vary

Facilitymedian $155 · 10th to 90th $71 to $302Professionalmedian $58 · 10th to 90th $48 to $78
$50$100$200$500facility $155professional $58

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
$213.80
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$75.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$64.57
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$44.67
Typical High
$87.10

Where Indiana sits

The same service costs 2.8 times more in Iowa than in Washington, DC. 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.

Indiana· 37th of 51

$70.79

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.