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Rapid Flu Antigen Test

Iowa rates for HCPCS 87804

This is a rapid test that checks a nasal or throat sample directly for proteins from the influenza virus, with the result read visually rather than through a lab instrument. It gives a quick answer, typically within minutes, which helps guide same-visit treatment decisions. It is generally less sensitive than laboratory-based molecular testing, so a negative result does not always rule out infection.

Rates data updated July 2026.

How much does Rapid Flu Antigen Test cost?

$23.44

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $47.86 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$22.39$15.49 to $36.31
FacilityA hospital or hospital-owned outpatient department$47.86$25.12 to $100

How much rates vary

Facilitymedian $48 · 10th to 90th $17 to $5,129Professionalmedian $22 · 10th to 90th $11 to $62
$10$100$1K$10Kfacility $48professional $22

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
$16.60
Median
$44.67
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$22.39
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$31.62
Typical High
$39.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$29.51
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$21.38
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.38
Typical High
$34.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$20.42
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$3,630.78
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$36.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$16.60

Where Iowa sits

The same service costs 2.5 times more in South Dakota than in Florida. 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.

Iowa· 9th of 51

$23.44

SD $31.62FL $12.59

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.