go back

Urinary And Genital Infection Test With Resistance Genes

Massachusetts rates for HCPCS 0321U

Identifies which organism is causing a urinary or genital tract infection and whether it carries genes that make it resistant to antibiotics. PCR — a method that copies and detects genetic material — is used to look for twenty organisms, and the same run also detects sixteen antibiotic-resistance genes.

Rates data updated July 2026.

How much does Urinary And Genital Infection Test With Resistance Genes cost?

$631

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,096 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 7 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$631$479 to $631
FacilityA hospital or hospital-owned outpatient department$1,096$871 to $1,862

How much rates vary

Facilitymedian $1,096 · 10th to 90th $447 to $2,042Professionalmedian $631 · 10th to 90th $380 to $1,047
$100.0$1.0K$10.0Kfacility $1,096professional $631

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
$446.68
Median
$1,412.54
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$512.86
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$977.24
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,071.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,071.52
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$1,445.44

Where Massachusetts sits

The same service costs 3.7 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $631 · 19th of 51
AK $1,413KY $380

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.