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Respiratory Panel, Viral And Bacterial

New Jersey 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?

$245

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $617 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 $245
FacilityA hospital or hospital-owned outpatient department$617$417 to $1,585

How much rates vary

Facilitymedian $617 · 10th to 90th $275 to $2,754Professionalmedian $245 · 10th to 90th $166 to $331
$100$500$2K$10Kfacility $617professional $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
$354.81
Median
$616.60
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$602.56
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$398.11
Typical High
$602.56
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$275.42
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$281.84

Where New Jersey 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.

New Jersey· 25th of 51

$245

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.