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RSV Genetic Test

Maryland 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?

$52.48

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $50.12 to $60.26.

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.

How much rates vary

Facilitymedian $102 · 10th to 90th $102 to $102Professionalmedian $52 · 10th to 90th $36 to $78
$50$100$200facility $102professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$72.44
CareFirst
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$70.79
Typical High
$204.17
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$85.11
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$38.90
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
3 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
$25.70
Median
$26.30
Typical High
$28.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.47
Median
$10.47
Typical High
$11.22
Kaiser Permanente
Setting
Professional
Modifier
QW · Waived lab test
Typical Low
$70.79
Median
$85.11
Typical High
$104.71

Where Maryland 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.

Maryland· 49th of 51

$52.48

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.