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Basic Respiratory Virus PCR Panel

Rhode Island 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?

$132

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $380 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 4 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$107$72.44 to $132
FacilityA hospital or hospital-owned outpatient department$380$174 to $759

How much rates vary

Facilitymedian $380 · 10th to 90th $166 to $794Professionalmedian $107 · 10th to 90th $72 to $178
$100$200$500facility $380professional $107

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
$208.93
Median
$501.19
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$100.00
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$251.19

Where Rhode Island 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.

Rhode Island· 42nd of 51

$132

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.