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Rapid Flu Antigen Test

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $22.39 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$14.79$11.22 to $21.38
FacilityA hospital or hospital-owned outpatient department$22.39$21.38 to $51.29

How much rates vary

Facilitymedian $22 · 10th to 90th $21 to $178Professionalmedian $15 · 10th to 90th $11 to $43
$10$100$1K$10K$100Kfacility $22professional $15

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
$53.70
Median
$125.89
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$66,069.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$19.05
Typical High
$23.99
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$21.38
Typical High
$50.12
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$21.38
Typical High
$50.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$32.36
Typical High
$93.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.60

Where Montana 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.

Montana· 32nd 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.