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Basic Respiratory Virus PCR Panel

Vermont 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?

$107

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $240 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 5 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$93.33 to $129
FacilityA hospital or hospital-owned outpatient department$240$191 to $347

How much rates vary

Facilitymedian $240 · 10th to 90th $191 to $603Professionalmedian $107 · 10th to 90th $72 to $170
$100$200$500facility $240professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$186.21
Typical High
$263.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$165.96
Typical High
$346.74

Where Vermont 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.

Vermont· 49th of 51

$107

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.