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RSV Genetic Test

Montana 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?

$81.28

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $95.50 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 6 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$81.28$74.13 to $93.33
FacilityA hospital or hospital-owned outpatient department$95.50$87.10 to $209

How much rates vary

Facilitymedian $95 · 10th to 90th $71 to $537Professionalmedian $81 · 10th to 90th $71 to $437
$100$1K$10K$100Kfacility $95professional $81

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
$199.53
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$213.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$87.10
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$36.31
Typical High
$87.10

Where Montana 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.

Montana· 20th of 51

$81.28

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.