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Basic Respiratory Virus PCR Panel

Tennessee 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?

$135

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $120 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$120$107 to $166
FacilityA hospital or hospital-owned outpatient department$302$135 to $468

How much rates vary

Facilitymedian $302 · 10th to 90th $107 to $513Professionalmedian $120 · 10th to 90th $91 to $195
$50$100$200$500$1Kfacility $302professional $120

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
$323.59
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$70.79
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$302.00
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$245.47
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$141.25
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$186.21

Where Tennessee 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.

Tennessee· 40th of 51

$135

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.