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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 July 2026.

How much does RSV Genetic Test cost?

$70.79

Typical negotiated rate. In Maine, 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 7 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$56.23 to $72.44
FacilityA hospital or hospital-owned outpatient department$155$79.43 to $200

How much rates vary

Facilitymedian $155 · 10th to 90th $71 to $550Professionalmedian $71 · 10th to 90th $46 to $85
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $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
$141.25
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$81.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$549.54
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$107.15
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$83.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$213.80
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$131.83

Where Maine sits

The same service costs 2.8 times more in Iowa than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $70.79 · 40th of 51
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.