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Basic Respiratory Virus PCR Panel

Iowa 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?

$204

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $229 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$174$138 to $316
FacilityA hospital or hospital-owned outpatient department$229$174 to $363

How much rates vary

Facilitymedian $229 · 10th to 90th $135 to $427Professionalmedian $174 · 10th to 90th $105 to $631
$100$200$500$1Kfacility $229professional $174

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
$109.65
Median
$269.15
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$338.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$154.88
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25

Where Iowa 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.

Iowa· 5th of 51

$204

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.