go back

Rapid Flu Antigen Test

Kentucky 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?

$16.22

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $31.62 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 6 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$13.18 to $28.18
FacilityA hospital or hospital-owned outpatient department$31.62$13.49 to $57.54

How much rates vary

Facilitymedian $32 · 10th to 90th $13 to $91Professionalmedian $16 · 10th to 90th $11 to $47
$10$20$50$100$200facility $32professional $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
$13.49
Median
$31.62
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$18.20
Typical High
$50.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$16.60
Typical High
$17.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.85
Typical High
$16.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$22.39
Typical High
$22.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$16.60
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.85
Typical High
$16.98

Where Kentucky 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.

Kentucky· 43rd of 51

$16.22

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.