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RSV Genetic Test

New Jersey 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?

$74.13

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $145 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$64.57$52.48 to $77.62
FacilityA hospital or hospital-owned outpatient department$145$105 to $363

How much rates vary

Facilitymedian $145 · 10th to 90th $81 to $871Professionalmedian $65 · 10th to 90th $46 to $93
$100.0$1.0K$10.0K$100.0Kfacility $145professional $65

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
$89.13
Median
$123.03
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$93.33
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$81.28
Typical High
$154.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$112.20
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$70.79
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$87.10

Where New Jersey 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.

New Jersey $74.13 · 30th 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.