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Respiratory Pathogen Panel Of 21 Targets

Vermont 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?

$490

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $468 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 4 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$490$417 to $501
FacilityA hospital or hospital-owned outpatient department$468$417 to $501

How much rates vary

Facilitymedian $468 · 10th to 90th $417 to $575Professionalmedian $490 · 10th to 90th $417 to $537
$200$500$1Kfacility $468professional $490

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. Small sample; interpret with caution. 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
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$575.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$436.52
Typical High
$891.25

Where Vermont 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.

Vermont· 9th of 51

$490

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.