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Basic Respiratory Virus PCR Panel

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $148 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 $178
FacilityA hospital or hospital-owned outpatient department$282$126 to $398

How much rates vary

Facilitymedian $282 · 10th to 90th $115 to $537Professionalmedian $141 · 10th to 90th $89 to $214
$100$200$500$1Kfacility $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
$295.12
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$537.03
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$309.03
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$234.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$85.11
Typical High
$165.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,071.52

Where North Carolina 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.

North Carolina· 27th 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.