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RSV Genetic Test

Rhode Island 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?

$63.10

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $129 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 4 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$60.26$52.48 to $64.57
FacilityA hospital or hospital-owned outpatient department$129$85.11 to $389

How much rates vary

Facilitymedian $129 · 10th to 90th $81 to $407Professionalmedian $60 · 10th to 90th $52 to $74
$50$100$200facility $129professional $60

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$63.10
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$52.48
Typical High
$125.89

Where Rhode Island 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.

Rhode Island· 48th of 51

$63.10

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.