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Rapid Flu Antigen Test

Maryland 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 October 2026.

How much does Rapid Flu Antigen Test cost?

$13.18

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $13.18 for this service. Most negotiated rates run $12.59 to $15.85.

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.

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $21Professionalmedian $13 · 10th to 90th $12 to $19
$10$20facility $13professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$12.59
Median
$15.85
Typical High
$20.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$15.49
Typical High
$25.12
CareFirst
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$10.96
Typical High
$21.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$14.45
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$19.05
Typical High
$24.55
United
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$18.62
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.31
Median
$6.31
Typical High
$7.94
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.51
Median
$2.75
Typical High
$3.24

Where Maryland sits

The same service costs 3.2 times more in Alaska than in New Jersey. 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.

Maryland· 49th of 51

$13.18

AK $37.15NJ $11.48

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.