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Respiratory Pathogen Panel Of 21 Targets

New Jersey 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?

$501

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $1,230 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 $501
FacilityA hospital or hospital-owned outpatient department$1,230$550 to $1,698

How much rates vary

Facilitymedian $1,230 · 10th to 90th $417 to $3,388Professionalmedian $417 · 10th to 90th $417 to $550
$200$500$1K$2K$5K$10K$20Kfacility $1,230professional $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
$537.03
Median
$1,230.27
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$549.54
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$912.01
Typical High
$977.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$776.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$416.87
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$436.52

Where New Jersey 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.

New Jersey· 7th of 51

$501

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.