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Respiratory Panel, Viral And Bacterial

New York 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 York, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $490 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 9 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$166$63.10 to $245
FacilityA hospital or hospital-owned outpatient department$490$316 to $661

How much rates vary

Facilitymedian $490 · 10th to 90th $245 to $759Professionalmedian $166 · 10th to 90th $63 to $339
$100$200$500$1Kfacility $490professional $166

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
$245.47
Median
$501.19
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$245.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$288.40
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$588.84
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,318.26
Typical High
$1,318.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$1,047.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$537.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$489.78
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$380.19
Univera
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$316.23
Univera
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$660.69

Where New York 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 York· 37th 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.