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Respiratory Panel, Viral And Bacterial

Iowa rates for HCPCS 0115U

Identifies the cause of a respiratory infection by testing a patient sample for the genetic material of 20 named organisms in one run: 18 viruses and two bacteria.

Rates data updated July 2026.

How much does Respiratory Panel, Viral And Bacterial cost?

$417

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $631 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 7 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$275$166 to $525
FacilityA hospital or hospital-owned outpatient department$631$331 to $794

How much rates vary

Facilitymedian $631 · 10th to 90th $275 to $1,318Professionalmedian $275 · 10th to 90th $166 to $759
$200$500$1Kfacility $631professional $275

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
$275.42
Median
$724.44
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$354.81
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$707.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$691.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42

Where Iowa sits

The same service costs 3.0 times more in Alaska than in New Mexico. 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.

Iowa· 5th of 51

$417

AK $617NM $204

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.