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RSV Genetic Test

Kentucky 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?

$57.54

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $81.28 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$54.95$34.67 to $72.44
FacilityA hospital or hospital-owned outpatient department$81.28$57.54 to $102

How much rates vary

Facilitymedian $81 · 10th to 90th $58 to $170Professionalmedian $55 · 10th to 90th $35 to $95
$50$100$200facility $81professional $55

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
$57.54
Median
$81.28
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$41.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$117.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$102.33
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$131.83
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$87.10

Where Kentucky 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.

Kentucky· 50th of 51

$57.54

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.