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Rapid Test For An Infection

Pennsylvania 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 October 2026.

How much does Rapid Test For An Infection cost?

$17.78

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $27.54 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.78$13.18 to $18.62
FacilityA hospital or hospital-owned outpatient department$27.54$21.88 to $63.10

How much rates vary

Facilitymedian $28 · 10th to 90th $18 to $81Professionalmedian $18 · 10th to 90th $9 to $25
$10$100$1Kfacility $28professional $18

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$18.62
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$17.78
Typical High
$18.62
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$81.28
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$16.98
Typical High
$18.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$29.51
Typical High
$66.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$17.78
Typical High
$33.11
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$31.62
Geisinger
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Geisinger
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$16.60
Typical High
$38.90
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$74.13
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$18.62
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$24.55
Typical High
$53.70
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
UPMC Health Plan
Setting
Professional
Modifier
QW · Waived lab test
Typical Low
$13.49
Median
$21.88
Typical High
$21.88
United
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$21.88
Typical High
$26.30
United
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$13.18
Typical High
$32.36

Where Pennsylvania sits

The same service costs 4.7 times more in Alaska than in Alabama. 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.

Pennsylvania· 23rd of 51

$17.78

AK $48.98AL $10.47

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.