go back

RSV Genetic Test

Ohio 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?

$85.11

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $89.13 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 8 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$74.13$56.23 to $107
FacilityA hospital or hospital-owned outpatient department$89.13$70.79 to $145

How much rates vary

Facilitymedian $89 · 10th to 90th $62 to $204Professionalmedian $74 · 10th to 90th $48 to $155
$20.0$50.0$100.0$200.0$500.0facility $89professional $74

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
$58.88
Median
$95.50
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$95.50
Typical High
$169.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$151.36
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$213.80
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$75.86
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$97.72

Where Ohio 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.

Ohio $85.11 · 17th 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.