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Basic Respiratory Virus PCR Panel

South Dakota 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?

$214

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $331 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 7 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$151$112 to $389
FacilityA hospital or hospital-owned outpatient department$331$275 to $355

How much rates vary

Facilitymedian $331 · 10th to 90th $191 to $355Professionalmedian $151 · 10th to 90th $95 to $389
$100$200facility $331professional $151

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
$190.55
Median
$331.13
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$389.05
Avera
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$707.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$223.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25

Where South Dakota 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 Dakota· 3rd of 51

$214

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.