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Rapid Test For An Infection

North Carolina rates for HCPCS 87809

A quick test that looks for material shed by a specific infectious organism directly in a sample and is read by eye, usually within minutes, without being sent away for analysis. It is used where a fast answer changes what happens next, such as during a clinic visit.

Rates data updated July 2026.

How much does Rapid Test For An Infection cost?

$17.38

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $17.38 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $19.05 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$17.38$15.85 to $17.38
FacilityA hospital or hospital-owned outpatient department$19.05$17.38 to $36.31

How much rates vary

Facilitymedian $19 · 10th to 90th $13 to $72Professionalmedian $17 · 10th to 90th $10 to $26
$10$20$50$100facility $19professional $17

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
$13.80
Median
$19.05
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$17.38
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$41.69
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.59
Typical High
$29.51
Medcost
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$22.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.47
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$19.95
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$10.23
Typical High
$21.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03

Where North Carolina sits

The same service costs 2.9 times more in Nebraska than in Connecticut. 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· 43rd of 51

$17.38

NE $35.48CT $12.30

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.