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Basic Respiratory Virus PCR Panel

West 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?

$129

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $251 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$117$107 to $120
FacilityA hospital or hospital-owned outpatient department$251$129 to $309

How much rates vary

Facilitymedian $251 · 10th to 90th $112 to $437Professionalmedian $117 · 10th to 90th $95 to $151
$100$200$500facility $251professional $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
$112.20
Median
$251.19
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$147.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$208.93
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$691.83
Typical High
$691.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$177.83

Where West 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.

West Virginia· 44th of 51

$129

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.