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Rapid Flu Antigen Test

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $28.84 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 7 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$14.13$12.30 to $20.42
FacilityA hospital or hospital-owned outpatient department$28.84$15.85 to $41.69

How much rates vary

Facilitymedian $29 · 10th to 90th $13 to $68Professionalmedian $14 · 10th to 90th $11 to $28
$10$20$50$100facility $29professional $14

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
$36.31
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.45
Typical High
$27.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.30
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$32.36
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$11.48
Typical High
$23.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$26.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$12.30
Typical High
$22.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.02
Typical High
$12.02
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$16.98
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$16.60
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where North Carolina 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.

North Carolina· 42nd 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.