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Basic Respiratory Virus PCR Panel

Connecticut 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?

$174

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $240 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$126$95.50 to $288
FacilityA hospital or hospital-owned outpatient department$240$158 to $316

How much rates vary

Facilitymedian $240 · 10th to 90th $141 to $407Professionalmedian $126 · 10th to 90th $93 to $479
$100$200$500$1Kfacility $240professional $126

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
$141.25
Median
$251.19
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$173.78
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$316.23
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$269.15
Health New England
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$234.42

Where Connecticut 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.

Connecticut· 11th of 51

$174

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.