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Rapid Test For An Infection

New Jersey 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?

$18.62

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $38.90 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$12.59$9.77 to $18.62
FacilityA hospital or hospital-owned outpatient department$38.90$21.38 to $120

How much rates vary

Facilitymedian $39 · 10th to 90th $20 to $1,175Professionalmedian $13 · 10th to 90th $8 to $32
$10.0$100.0$1.0K$10.0Kfacility $39professional $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
$21.38
Median
$28.18
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$11.22
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$47.86
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$20.42
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.96
Typical High
$14.79
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$7,762.47
Typical High
$20,417.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.18
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$21.88
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.18
Typical High
$16.60

Where New Jersey sits

The same service costs 2.9 times more in Nebraska than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $18.62 · 28th of 51
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.