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Basic Respiratory Virus PCR Panel

South 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 South Carolina, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $302 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$115$112 to $151
FacilityA hospital or hospital-owned outpatient department$302$191 to $479

How much rates vary

Facilitymedian $302 · 10th to 90th $112 to $525Professionalmedian $115 · 10th to 90th $93 to $219
$100$200$500facility $302professional $115

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
$112.20
Median
$354.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$426.58
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$173.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$141.25
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$177.83

Where South 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.

South Carolina· 29th 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.