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Respiratory Pathogen Panel Of 22 Targets

Illinois rates for HCPCS 0223U

Tests a swab sample for the genetic material of 22 respiratory germs at once, among them SARS-CoV-2, the virus that causes COVID-19. It reports which of the targets are present in someone with respiratory symptoms.

Rates data updated July 2026.

How much does Respiratory Pathogen Panel Of 22 Targets cost?

$417

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $631 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 6 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$417$245 to $417
FacilityA hospital or hospital-owned outpatient department$631$417 to $832

How much rates vary

Facilitymedian $631 · 10th to 90th $417 to $1,047Professionalmedian $417 · 10th to 90th $3 to $525
$5$20$100$500facility $631professional $417

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
$416.87
Median
$645.65
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$489.78
Typical High
$660.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$354.81
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$602.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$776.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$416.87

Where Illinois sits

The same service costs 3.6 times more in North Dakota than in Oklahoma. 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· 29th of 51

$417

ND $631OK $174

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.