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RSV Genetic Test

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $102 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$77.62$56.23 to $93.33
FacilityA hospital or hospital-owned outpatient department$102$61.66 to $166

How much rates vary

Facilitymedian $102 · 10th to 90th $56 to $263Professionalmedian $78 · 10th to 90th $56 to $195
$10.0$20.0$50.0$100.0$200.0$500.0facility $102professional $78

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
$56.23
Median
$114.82
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$81.28
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$154.88
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$109.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$91.20
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$524.81

Where North Carolina 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.

North Carolina $81.28 · 23rd 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.