go back

Urinary And Genital Infection Test With Resistance Genes

Maine 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 Maine, 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 $1,023 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 6 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$513 to $631
FacilityA hospital or hospital-owned outpatient department$1,023$631 to $3,236

How much rates vary

Facilitymedian $1,023 · 10th to 90th $631 to $4,074Professionalmedian $631 · 10th to 90th $380 to $646
$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,023professional $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
$630.96
Median
$630.96
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$4,073.80
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$758.58
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,584.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$954.99

Where Maine 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.

Maine $631 · 20th 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.