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RSV Genetic Test

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 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 9 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$70.79 to $97.72
FacilityA hospital or hospital-owned outpatient department$155$97.72 to $214

How much rates vary

Facilitymedian $155 · 10th to 90th $71 to $295Professionalmedian $71 · 10th to 90th $52 to $214
$50$100$200$500$1K$2Kfacility $155professional $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
$70.79
Median
$123.03
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$436.52
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$229.09
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$85.11
Typical High
$162.18
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$138.04
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$128.82
Health New England
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$134.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$229.09
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$162.18

Where Massachusetts 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.

Massachusetts· 41st 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.