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Basic Respiratory Virus PCR Panel

Indiana 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?

$120

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $186 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 5 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$117$93.33 to $117
FacilityA hospital or hospital-owned outpatient department$186$141 to $347

How much rates vary

Facilitymedian $186 · 10th to 90th $141 to $427Professionalmedian $117 · 10th to 90th $71 to $145
$100$200$500$1Kfacility $186professional $117

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
$141.25
Median
$245.47
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$141.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$177.83

Where Indiana 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.

Indiana· 47th of 51

$120

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.