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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 October 2026.

How much does RSV Genetic Test cost?

$66.07

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $75.86 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$66.07$52.48 to $81.28
FacilityA hospital or hospital-owned outpatient department$75.86$66.07 to $123

How much rates vary

Facilitymedian $76 · 10th to 90th $58 to $148Professionalmedian $66 · 10th to 90th $50 to $95
$50$100$200facility $76professional $66

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
$66.07
Median
$66.07
Typical High
$104.71
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$33.11
Typical High
$52.48
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.49
Typical High
$20.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$70.79
Typical High
$89.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$32.36
Median
$34.67
Typical High
$35.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.88
Median
$13.80
Typical High
$14.13
Ambetter
Setting
Professional
Modifier
QW · Waived lab test
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$74.13
Typical High
$131.83
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$52.48
Typical High
$52.48
CareSource
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$77.62
Typical High
$95.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$52.48
Typical High
$95.50
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$104.71
Typical High
$199.53
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$33.11
Typical High
$52.48
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.49
Typical High
$20.89
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$81.28
Typical High
$107.15
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Health Alliance Plan
Setting
Professional
Modifier
QW · Waived lab test
Typical Low
$81.28
Median
$93.33
Typical High
$120.23
Priority Health
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$48.98
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$63.10
Typical High
$85.11
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$52.48
Typical High
$87.10

Where Michigan 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.

Michigan· 34th of 51

$66.07

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.