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Basic Respiratory Virus PCR Panel

Montana 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?

$186

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $166 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 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$166$151 to $447
FacilityA hospital or hospital-owned outpatient department$214$191 to $407

How much rates vary

Facilitymedian $214 · 10th to 90th $141 to $575Professionalmedian $166 · 10th to 90th $141 to $871
$100$1K$10Kfacility $214professional $166

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
$186.21
Median
$407.38
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$66,069.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$275.42
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$436.52
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$436.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$812.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$177.83

Where Montana 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.

Montana· 9th of 51

$186

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.