go back

RSV Genetic Test

Maine 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?

$56.23

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $93.33 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$41.69 to $70.79
FacilityA hospital or hospital-owned outpatient department$93.33$72.44 to $102

How much rates vary

Facilitymedian $93 · 10th to 90th $68 to $513Professionalmedian $52 · 10th to 90th $35 to $105
$50$100$200$500facility $93professional $52

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$97.72
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$93.33
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$41.69
Typical High
$52.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$70.79
Typical High
$93.33
Community Health Options
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$70.79
Typical High
$151.36
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$52.48
Typical High
$151.36

Where Maine 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.

Maine· 44th of 51

$56.23

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.