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Rapid Flu Antigen Test

Ohio 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?

$20.89

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $32.36 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$16.22$13.18 to $21.88
FacilityA hospital or hospital-owned outpatient department$32.36$18.62 to $52.48

How much rates vary

Facilitymedian $32 · 10th to 90th $15 to $81Professionalmedian $16 · 10th to 90th $10 to $28
$10$20$50$100$200facility $32professional $16

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
$36.31
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$34.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$17.38
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$17.38
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$15.85
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$19.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.60
Typical High
$22.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$20.42
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.30
Typical High
$23.99
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$56.23
Typical High
$123.03
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$22.39
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.80
Typical High
$20.42
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$18.20
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$19.95

Where Ohio 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.

Ohio· 12th of 51

$20.89

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.