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Rapid Flu Antigen Test

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $41.69 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$13.49$12.30 to $16.60
FacilityA hospital or hospital-owned outpatient department$41.69$16.60 to $87.10

How much rates vary

Facilitymedian $42 · 10th to 90th $17 to $123Professionalmedian $13 · 10th to 90th $11 to $21
$10$20$50$100facility $42professional $13

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
$34.67
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$23.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$107.15
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$10.00
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$19.05
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$19.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$26.92
Typical High
$87.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$25.70

Where Maine 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.

Maine· 41st 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.