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Basic Respiratory Virus PCR Panel

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $191 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$107$93.33 to $141
FacilityA hospital or hospital-owned outpatient department$191$135 to $257

How much rates vary

Facilitymedian $191 · 10th to 90th $95 to $347Professionalmedian $107 · 10th to 90th $76 to $186
$50$100$200$500facility $191professional $107

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
$114.82
Median
$245.47
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$177.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$144.54
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$1,122.02
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$177.83
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$190.55

Where Georgia 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.

Georgia· 46th 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.