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Basic Respiratory Virus PCR Panel

California rates for HCPCS 87631

A molecular, genetic-based, laboratory test that checks a single respiratory sample for a small group of the most common viruses and other germs that cause cold, flu, or similar respiratory symptoms. It is a more limited version of a respiratory panel test, screening for fewer organisms than the broader multiplex versions.

Rates data updated July 2026.

How much does Basic Respiratory Virus PCR Panel cost?

$200

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $363 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 13 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$151$138 to $355
FacilityA hospital or hospital-owned outpatient department$363$269 to $708

How much rates vary

Facilitymedian $363 · 10th to 90th $151 to $1,047Professionalmedian $151 · 10th to 90th $95 to $813
$100$200$500$1Kfacility $363professional $151

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
$199.53
Median
$380.19
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$870.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$363.08
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$380.19
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$831.76
Typical High
$1,862.09
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$426.58
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$141.25
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$251.19
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$151.36
Typical High
$380.19
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$331.13

Where California sits

The same service costs 2.8 times more in Nebraska than in Washington, DC. 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.

California· 6th of 51

$200

NE $302DC $107

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.