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RSV Genetic Test

Michigan 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?

$72.44

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $83.18 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$66.07$56.23 to $81.28
FacilityA hospital or hospital-owned outpatient department$83.18$66.07 to $123

How much rates vary

Facilitymedian $83 · 10th to 90th $66 to $170Professionalmedian $66 · 10th to 90th $52 to $95
$50$100$200facility $83professional $66

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
$66.07
Median
$102.33
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$77.62
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$58.88
Typical High
$97.72
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$123.03
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$109.65
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$52.48
Typical High
$87.10

Where Michigan 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.

Michigan· 35th of 51

$72.44

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.