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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.

Facilitymedian $347 · 10th–90th $191$6030%10%10th90th$347Professionalmedian $129 · 10th–90th $72$2000%20%10th90th$129$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$165.96
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