go back

Basic Respiratory Virus PCR Panel

Ohio 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?

$158

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $263 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 9 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$95.50 to $195
FacilityA hospital or hospital-owned outpatient department$263$158 to $288

How much rates vary

Facilitymedian $263 · 10th to 90th $135 to $324Professionalmedian $117 · 10th to 90th $71 to $302
$100$200$500facility $263professional $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
$134.90
Median
$263.03
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$70.79
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$125.89
Typical High
$302.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$234.42
Typical High
$489.78
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$91.20
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$154.88
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$213.80

Where Ohio 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.

Ohio· 16th of 51

$158

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.