go back

Rapid Flu Antigen Test

Illinois 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?

$19.95

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $33.88 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$15.85$12.30 to $20.42
FacilityA hospital or hospital-owned outpatient department$33.88$23.99 to $64.57

How much rates vary

Facilitymedian $34 · 10th to 90th $16 to $105Professionalmedian $16 · 10th to 90th $8 to $31
$5$10$20$50$100$200facility $34professional $16

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
$16.22
Median
$33.88
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.60
Typical High
$33.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$37.15
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$12.88
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$34.67
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$25.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$26.30
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.98

Where Illinois 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.

Illinois· 16th of 51

$19.95

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.