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Basic Respiratory Virus PCR Panel

Virginia 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?

$141

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $209 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 8 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$93.33 to $151
FacilityA hospital or hospital-owned outpatient department$209$141 to $331

How much rates vary

Facilitymedian $209 · 10th to 90th $141 to $676Professionalmedian $117 · 10th to 90th $83 to $240
$100$200$500$1K$2K$5K$10Kfacility $209professional $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
$120.23
Median
$275.42
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$575.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$144.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$524.81
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$316.23
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$251.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$199.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$199.53
Typical High
$302.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$302.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$190.55

Where Virginia 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.

Virginia· 37th of 51

$141

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.