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Basic Respiratory Virus PCR Panel

Delaware 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?

$117

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $162 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$95.50$93.33 to $148
FacilityA hospital or hospital-owned outpatient department$162$162 to $851

How much rates vary

Facilitymedian $162 · 10th to 90th $162 to $851Professionalmedian $95 · 10th to 90th $93 to $427
$100$200$500facility $162professional $95

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
$162.18
Median
$162.18
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$95.50
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$239.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$213.80

Where Delaware 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.

Delaware· 48th of 51

$117

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.