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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 October 2026.

How much does Respiratory Panel, Viral And Bacterial cost?

$214

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $331 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$174 to $275
FacilityA hospital or hospital-owned outpatient department$331$275 to $468

How much rates vary

Facilitymedian $331 · 10th to 90th $275 to $676Professionalmedian $214 · 10th to 90th $123 to $316
$200$500$1Kfacility $331professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$501.19
Typical High
$977.24
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$245.47
Median
$245.47
Typical High
$363.08
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$112.20
Typical High
$123.03
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$44.67
Typical High
$48.98
Capital Blue Cross
Setting
Professional
Modifier
None (both parts)
Typical Low
$173.78
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$416.87
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$331.13
Median
$363.08
Typical High
$363.08
Geisinger
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Geisinger
Setting
Professional
Modifier
None (both parts)
Typical Low
$295.12
Median
$457.09
Typical High
$691.83
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$501.19
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$112.20
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$44.67
Typical High
$46.77
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$302.00
Typical High
$676.08
UPMC Health Plan
Setting
Professional
Modifier
None (both parts)
Typical Low
$275.42
Median
$302.00
Typical High
$302.00
United
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$114.82
Median
$165.96
Typical High
$331.13

Where Pennsylvania sits

The same service costs 34.7 times more in Texas than in Alabama. 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· 33rd of 51

$214

TX $1,380AL $39.81

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.