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Basic Respiratory Virus PCR Panel

New Mexico 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?

$151

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $457 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 5 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$117$93.33 to $200
FacilityA hospital or hospital-owned outpatient department$457$214 to $891

How much rates vary

Facilitymedian $457 · 10th to 90th $158 to $1,380Professionalmedian $117 · 10th to 90th $76 to $871
$100$1K$10K$100Kfacility $457professional $117

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
$169.82
Median
$426.58
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$141.25
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$912.01
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$190.55
Typical High
$269.15
Providence
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$177.83
Typical High
$323.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$141.25
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$141.25

Where New Mexico 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.

New Mexico· 25th of 51

$151

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.