go back

Basic Respiratory Virus PCR Panel

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $282 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$141$115 to $148
FacilityA hospital or hospital-owned outpatient department$282$141 to $603

How much rates vary

Facilitymedian $282 · 10th to 90th $141 to $661Professionalmedian $141 · 10th to 90th $85 to $170
$100$200$500facility $282professional $141

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
$281.84
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$660.69
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$144.54
Typical High
$229.09
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$169.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$263.03
Typical High
$602.56
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$141.25
Typical High
$234.42

Where Maine 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.

Maine· 35th 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.