CPT 87804 Pathology/Laboratory

How Much Does Detection Test by Immunoassay with Direct Visual Observation for Influenza Virus Cost?

Also known as: Detection test by immunoassay with direct visual observation for influenza virus (CPT 87804)

A rapid test for detecting infectious agents, such as influenza or COVID-19, using a nasal swab or throat swab.

Detection Test by Immunoassay with Direct Visual Observation for Influenza Virus (CPT 87804) costs $17 at Medicare rates.

The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.

Medicare (Facility)
$17
CMS PFS 2026 national rate

Patient Guide: Detection Test by Immunoassay with Direct Visual Observation for Influenza Virus

What you need to know before your appointment

What to Expect

A swab is inserted into your nostril or throat. The sample is tested with a rapid detection kit, providing results within minutes.

How Long Does It Take?

5 minutes for the swab, 15-30 minutes for results

Common Reasons Doctors Order This

Flu-like symptoms, COVID-19 symptoms, respiratory illness evaluation, workplace or school requirements

How to Prepare

Do not blow your nose right before the test. No other preparation needed.

Procedures Commonly Done Together

These procedures are frequently performed alongside Detection test by immunoassay with direct visual observation for influenza virus

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How to Reduce Your Cost for Detection test by immunoassay with direct visual observation for influenza virus

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

People Also Ask

Common questions people search for about this procedure

How much does CVS charge for a flu test?

A pharmacy-administered flu and COVID-19 test costs 9.99. The pharmacist assessment will cost 5, regardless of whether medication is prescribed. Patients may use HSA or FSA funds to cover the assessment fee. Any cost or copay for a prescribed medication is dependent on the patient's prescription insurance coverage.

Source: www.cvshealth.com See our data-backed answer →
Can I get a flu test for free?

Free at-home testing and treatments now available for COVID and flu through federal program.

Source: www.nibib.nih.gov See our data-backed answer →
Is it worth getting a flu test?
How much is a flu test at Walmart?

CorDx Tyfast At-Home Flu A/B and COVID-19 Rapid Test Kit, Easy, Accurate, Fast Results in 10 Minutes, 1 Test… 1.21.

Source: www.walmart.com See our data-backed answer →

Frequently Asked Questions

How much does Detection test by immunoassay with direct visual observation for influenza virus cost?

The Medicare facility rate for Detection test by immunoassay with direct visual observation for influenza virus is $17. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Detection test by immunoassay with direct visual observation for influenza virus cost without insurance?

Without insurance, the cost of Detection test by immunoassay with direct visual observation for influenza virus can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Detection test by immunoassay with direct visual observation for influenza virus?

Most commercial health insurance plans and Medicare cover Detection test by immunoassay with direct visual observation for influenza virus when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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