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Respiratory Pathogen Panel Of 22 Targets

North Carolina 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 North Carolina, 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 $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 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$417 to $525
FacilityA hospital or hospital-owned outpatient department$501$417 to $1,148

How much rates vary

Facilitymedian $501 · 10th to 90th $417 to $1,380Professionalmedian $417 · 10th to 90th $372 to $692
$200$500$1K$2Kfacility $501professional $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
$478.63
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$912.01
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$436.52
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,090.30

Where North Carolina 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.

North Carolina· 21st 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.