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Respiratory Panel, Viral And Bacterial

Illinois 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?

$331

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $427 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 5 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$245$219 to $331
FacilityA hospital or hospital-owned outpatient department$427$288 to $562

How much rates vary

Facilitymedian $427 · 10th to 90th $275 to $692Professionalmedian $245 · 10th to 90th $151 to $562
$200$500$1Kfacility $427professional $245

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
$269.15
Median
$426.58
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$398.11
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$371.54
Typical High
$512.86
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$275.42

Where Illinois 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.

Illinois· 10th of 51

$331

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.