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Rapid Flu Antigen Test

New Jersey 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?

$16.98

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $37.15 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$13.18$9.77 to $17.38
FacilityA hospital or hospital-owned outpatient department$37.15$21.38 to $74.13

How much rates vary

Facilitymedian $37 · 10th to 90th $12 to $132Professionalmedian $13 · 10th to 90th $9 to $31
$10.0$100.0$1.0K$10.0Kfacility $37professional $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
$12.02
Median
$31.62
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$13.18
Typical High
$30.90
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$123.03
Typical High
$1,096.48
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$20.89
Typical High
$28.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$37.15
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$15.85
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.51
Typical High
$13.49
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.30
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$16.60
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$14.13
Typical High
$16.60

Where New Jersey sits

The same service costs 2.5 times more in South Dakota than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $16.98 · 31st of 51
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.