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Respiratory Pathogen Panel Of 21 Targets

Montana 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?

$525

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $525 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$525$417 to $562
FacilityA hospital or hospital-owned outpatient department$525$417 to $631

How much rates vary

Facilitymedian $525 · 10th to 90th $417 to $1,259Professionalmedian $525 · 10th to 90th $372 to $631
$100$200$500$1Kfacility $525professional $525

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
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,258.93
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,258.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$912.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$371.54
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$436.52

Where Montana 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.

Montana· 5th of 51

$525

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.