Concord Pediatrics offers two testing options - Rapid Antigen Testing (15 minute) and PCR Testing (3+ days). We are following current NH Department of Health and Human Services and CDC Guidelines when determining which test to use.
Scroll down for: My child had contact with someone with COVID-19 and is quarantined. What day should they get tested?
Rapid Antigen Testing: only on days 1-5 for those with symptoms
Concord Pediatrics can do Rapid Antigen Testing [Sofia 2 SARS Antigen] with results in 15 minutes on patients with symptoms, during the first 5 days of illness. A positive antigen test result in a symptomatic person is treated as true-positive and does not need PCR confirmation. If your child has symptoms concerning for COVID-19, the Rapid Antigen Test is a good option on days 1-5 of illness. You may choose instead to do a PCR (send out test with results in an average of 3 days), which has a slightly higher sensitivity, if preferred. If you child has been sick for over 5 days, a PCR test is the only option.
*If a Rapid Antigen Test is negative, that means there was not a lot of virus present on that day. When there is high suspicion for COVID-19, such as in the case of a sick person who was in close contact to someone with COVID-19, or a person who reports very specific symptoms of COVID-19 (like total loss of taste or smell) we could consider sending a PCR on the same day, or in the following days if symptoms worsen to confirm that the person is negative.
*A negative Rapid Antigen test result in a symptomatic person does not require PCR ("long test") to confirm the result, and the individual can return to school or work once they are also fever-free (off fever reducing medications) and other symptoms are improving for at least 24 hours.
*Per NH Department of Health and Human Services guidelines, Concord Pediatrics will not use Rapid Antigen Testing for asymptomatic (not sick) people due to limited data and possibly lower sensitivity and specificity (resulting in false negatives and positives). Please call us if your child's school is requiring a Rapid Antigen Test for a specific protocol.
*If a person is quarantined due to close contact with someone with COVID-19, a 10 day quarantine is necessary. 14 days of quarantine is even safer (if you cannot continue to completely quarantine after 10 days, perhaps at least consider avoiding contact with high risk people such as grandparents). As of 12/3/20 per NH Guidelines, you can test out of quarantine after 7 days with a PCR test done on day 6 or 7, however currently those results would most likely be back on or after the 10 days and testing supplies are limited, so this is not a preferred option.
PCR Testing: for patients with or without symptoms
Concord Pediatrics can send PCR Tests for patients with or without symptoms. The lab states they return results in 3-7 days. We usually see results within 3 days. This is the appropriate test for a person who has had contact with someone with COVID-19 but is not showing any symptoms*, or for someone who has been sick for more than 5 days. A limited number of "Screening Tests" for individuals who are not sick, and have no symptoms (such as for college and sports participation) may be available but this is subject to change based on limited testing supplies and appointment slots, and please note that wait times for test results can vary widely.
*A negative PCR test is very reassuring, however if symptoms worsen, repeat testing should be considered. It is possible to have a false-negative result, or to become symptomatic on day 9 or even 14.
FAQ: My child had contact with someone with COVID-19 and is quarantined. What day should they get tested?
- Based on state and CDC guidelines, your child must quarantine for at least 10 days (14 is preferred).
- PCR testing (the "long test") on day 5-7 may be helpful to know if your child is coming down with COVID-19.
- A negative PCR test on day 6 or 7 could potentially end quarantine after day 7, however the test result will not be back before day 10 - so this is not helpful if you want to "test out of quarantine."
- A negative PCR test does not rule out the possibility of later infection (a person could get sick on day 9 or 10 of quarantine).
- A Rapid Antigen Test is not currently an option for someone without symptoms, and cannot be used to "test out of quarantine."
- Testing is done during an Office Visit with a physician or nurse practitioner.
- Without testing we cannot write a "Return to School Note" that says your child's symptoms are not due to COVID-19.
- For additional testing options we are directing families to look into the list of COVID-19 Testing Options on the NH Dept. of Health and Human Services Website.
COVID-19 Pricing Transparency
If you need a COVID-19 diagnostic test, you may be curious about what a test will cost you. We publish our COVID-19 diagnostic test price list online in accordance with provisions in the CARES Act.
Important Facts to Keep in Mind
- If you have insurance, please note that many insurance plans cover COVID-19 diagnostic testing at no cost to you.
- The actual price you pay will likely be lower than the price listed on this page because prices listed do not take into account insurance coverage or other financial assistance.
- COVID-19 diagnostic testing options are rapidly evolving, and therefore tests and prices are subject to change. Our published price list is accurate as of 1/15/2021.
Please call your insurance agency before your appointment if you have questions about your insurance coverage for COVID-19 testing.
- Quest COVID-19 PCR A qualitative multi-target molecular test that aids in the detection of COVID-19 in nasal swabs; this test is swabbed at Concord Pediatrics, then sent to Quest Diagnostics laboratory via Concord Hospital and billed through Concord Hospital: $263.00* (per Concord Hospital)
- Sofia SARS Antigen FIA A rapid antigen-based point-of-care test for the detection of COVID-19 completed (swabbed) at, and billed through Concord Pediatrics: $125.00*
*These listings do not include billings for the office visit for patient evaluation and specimen collection at Concord Pediatrics.