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Basic Respiratory Virus PCR Panel

Missouri 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?

$148

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $214 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 7 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$138$105 to $178
FacilityA hospital or hospital-owned outpatient department$214$141 to $275

How much rates vary

Facilitymedian $214 · 10th to 90th $129 to $490Professionalmedian $138 · 10th to 90th $63 to $269
$100$200$500facility $214professional $138

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
$239.88
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$269.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$229.09
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$213.80

Where Missouri 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.

Missouri· 30th of 51

$148

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.