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Basic Respiratory Virus PCR Panel

Michigan 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?

$135

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $138 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$135$102 to $151
FacilityA hospital or hospital-owned outpatient department$138$135 to $224

How much rates vary

Facilitymedian $138 · 10th to 90th $112 to $295Professionalmedian $135 · 10th to 90th $93 to $200
$100$200$500facility $138professional $135

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
$123.03
Median
$138.04
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$107.15
Typical High
$107.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$199.53
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$354.81
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$213.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$186.21

Where Michigan 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.

Michigan· 39th of 51

$135

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.