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Urinary And Genital Infection Test With Resistance Genes

North Carolina 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?

$513

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $550 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$513$513 to $631
FacilityA hospital or hospital-owned outpatient department$550$513 to $776

How much rates vary

Facilitymedian $550 · 10th to 90th $513 to $1,660Professionalmedian $513 · 10th to 90th $427 to $1,023
$500.0$1.0K$2.0K$5.0Kfacility $550professional $513

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
$512.86
Median
$512.86
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,659.59
Typical High
$2,884.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$741.31
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$676.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,786.30

Where North Carolina 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.

North Carolina $513 · 32nd 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.