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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 July 2026.

How much does Rapid Test For An Infection cost?

$18.62

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $17.78 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 8 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$17.78$16.98 to $20.42
FacilityA hospital or hospital-owned outpatient department$32.36$22.91 to $60.26

How much rates vary

Facilitymedian $32 · 10th to 90th $19 to $81Professionalmedian $18 · 10th to 90th $10 to $34
$10.0$100.0$1.0K$10.0Kfacility $32professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$33.88
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$17.78
Typical High
$51.29
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$17.78
Typical High
$32.36
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.49
Typical High
$31.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$18.62
Typical High
$38.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$36.31
Typical High
$77.62
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$17.78
Typical High
$64.57
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$22.39
Typical High
$53.70
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$21.88
Typical High
$26.30
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.18
Typical High
$26.92

Where Pennsylvania 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.

Pennsylvania $18.62 · 31st 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.