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Respiratory Pathogen Panel Of 22 Targets

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $562 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$251$166 to $417
FacilityA hospital or hospital-owned outpatient department$562$417 to $1,259

How much rates vary

Facilitymedian $562 · 10th to 90th $417 to $6,026Professionalmedian $251 · 10th to 90th $141 to $417
$200$1K$5K$20Kfacility $562professional $251

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
$416.87
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$173.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,187.76
Typical High
$15,488.17
CareSource
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$436.52

Where Kentucky 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.

Kentucky· 10th 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.