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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 July 2026.

How much does Rapid Flu Antigen Test cost?

$16.60

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $74.13 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$12.30 to $21.38
FacilityA hospital or hospital-owned outpatient department$74.13$52.48 to $83.18

How much rates vary

Facilitymedian $74 · 10th to 90th $14 to $98Professionalmedian $16 · 10th to 90th $11 to $59
$10$20$50$100facility $74professional $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
$19.95
Median
$77.62
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$15.85
Typical High
$61.66
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$12.02
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$10.96
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$15.49
Typical High
$40.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$7.94
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$18.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$13.18
Typical High
$13.18

Where Maryland 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.

Maryland· 38th of 51

$16.60

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.