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Rapid Flu Antigen Test

Vermont 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?

$18.20

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $89.13 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 5 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$18.20$15.85 to $19.95
FacilityA hospital or hospital-owned outpatient department$89.13$27.54 to $162

How much rates vary

Facilitymedian $89 · 10th to 90th $6 to $195Professionalmedian $18 · 10th to 90th $15 to $20
$10$20$50$100$200facility $89professional $18

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$18.20
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$19.05
Typical High
$23.99
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$36.31

Where Vermont 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.

Vermont· 26th of 51

$18.20

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.