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Bacterial Or Viral Infection Blood Test

New Jersey rates for HCPCS 0351U

Helps tell whether an infection is bacterial or viral, which decides whether antibiotics are likely to help. Three proteins made by the patient's own immune system, TRAIL, IP-10 and C-reactive protein, are measured in a blood serum sample and combined into a probability that the cause is bacterial.

Rates data updated July 2026.

How much does Bacterial Or Viral Infection Blood Test cost?

$214

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $389 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$195$170 to $214
FacilityA hospital or hospital-owned outpatient department$389$339 to $1,175

How much rates vary

Facilitymedian $389 · 10th to 90th $263 to $2,630Professionalmedian $195 · 10th to 90th $138 to $224
$50$200$1K$5K$20Kfacility $389professional $195

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
$331.13
Median
$346.74
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$616.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$562.34
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
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$263.03
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$263.03

Where New Jersey sits

The same service costs 3.8 times more in Alaska 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· 30th of 51

$214

AK $589WY $155

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.