go back

Respiratory Panel, Viral And Bacterial

Pennsylvania 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 Pennsylvania, 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 $501 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 8 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$245 to $245
FacilityA hospital or hospital-owned outpatient department$501$363 to $692

How much rates vary

Facilitymedian $501 · 10th to 90th $275 to $933Professionalmedian $245 · 10th to 90th $166 to $427
$200$500$1Kfacility $501professional $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
$380.19
Median
$501.19
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$398.11
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$691.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$691.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$676.08
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$371.54

Where Pennsylvania 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.

Pennsylvania· 36th 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.