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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 October 2026.

How much does RSV Genetic Test cost?

$93.33

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $120 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$40.74 to $95.50
FacilityA hospital or hospital-owned outpatient department$120$105 to $138

How much rates vary

Facilitymedian $120 · 10th to 90th $93 to $209Professionalmedian $71 · 10th to 90th $30 to $126
$50$100$200$500facility $120professional $71

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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$75.86
Typical High
$104.71
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$537.03
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$138.04
Typical High
$398.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$120.23
Typical High
$141.25
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$120.23
Typical High
$128.82
Providence
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$138.04
Typical High
$398.11
Providence
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$87.10
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$70.79

Where Montana 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.

Montana· 9th of 51

$93.33

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.