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Basic Respiratory Virus PCR Panel

Florida 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?

$129

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $195 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 8 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$115$95.50 to $151
FacilityA hospital or hospital-owned outpatient department$195$129 to $372

How much rates vary

Facilitymedian $195 · 10th to 90th $107 to $437Professionalmedian $115 · 10th to 90th $85 to $309
$20$50$100$200$500facility $195professional $115

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
$107.15
Median
$194.98
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$87.10
AvMed
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$165.96
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$263.03
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$85.11
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$128.82
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$66.07
Typical High
$213.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11

Where Florida 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.

Florida· 45th of 51

$129

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.