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Rapid Flu Antigen Test

New York 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 New York, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $13.18 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 9 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$6.61 to $18.20
FacilityA hospital or hospital-owned outpatient department$28.84$16.60 to $45.71

How much rates vary

Facilitymedian $29 · 10th to 90th $14 to $83Professionalmedian $13 · 10th to 90th $6 to $29
$10$20$50$100$200$500facility $29professional $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
$13.49
Median
$30.90
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$13.18
Typical High
$31.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.94
Typical High
$26.92
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$16.60
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$38.02
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$23.99
Typical High
$81.28
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$45.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.00
Typical High
$31.62
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$18.62
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$30.90
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.85
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.98
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$14.13
Typical High
$30.20
Univera
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.79
Typical High
$27.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$42.66

Where New York 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.

New York· 33rd 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.