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Basic Respiratory Virus PCR Panel

Illinois 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?

$141

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $224 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$123$97.72 to $151
FacilityA hospital or hospital-owned outpatient department$224$145 to $295

How much rates vary

Facilitymedian $224 · 10th to 90th $117 to $447Professionalmedian $123 · 10th to 90th $3 to $240
$5$20$100$500$2Kfacility $224professional $123

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
$117.49
Median
$223.87
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$676.08
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$109.65
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$194.98
Typical High
$257.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$371.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$288.40

Where Illinois 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.

Illinois· 33rd of 51

$141

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.