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Respiratory Pathogen Panel Of 21 Targets

Indiana rates for HCPCS 0225U

Looks for the genetic material of 21 respiratory germs in a single sample, among them SARS-CoV-2, the virus that causes COVID-19, and reports which are present in someone with respiratory symptoms.

Rates data updated July 2026.

How much does Respiratory Pathogen Panel Of 21 Targets cost?

$417

Typical negotiated rate. In Indiana, 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 $437 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$417$229 to $417
FacilityA hospital or hospital-owned outpatient department$437$417 to $832

How much rates vary

Facilitymedian $437 · 10th to 90th $417 to $1,259Professionalmedian $417 · 10th to 90th $166 to $417
$200$500$1K$2K$5Kfacility $437professional $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
$537.03
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
$416.87
Median
$416.87
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$676.08
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$512.86
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$436.52

Where Indiana sits

The same service costs 2.5 times more in North Dakota than in Wyoming. 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.

Indiana· 42nd of 51

$417

ND $631WY $251

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.