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RSV Genetic Test

South Dakota 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?

$112

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $195 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 7 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$112$79.43 to $191
FacilityA hospital or hospital-owned outpatient department$195$135 to $200

How much rates vary

Facilitymedian $195 · 10th to 90th $100 to $204Professionalmedian $112 · 10th to 90th $55 to $209
$50$100$200facility $195professional $112

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
$165.96
Median
$199.53
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$208.93
Avera
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$354.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$44.67
Typical High
$93.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where South Dakota 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.

South Dakota· 4th of 51

$112

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.