go back

Urinary And Genital Infection Test With Resistance Genes

New Jersey 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?

$525

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $891 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$479$417 to $537
FacilityA hospital or hospital-owned outpatient department$891$813 to $2,884

How much rates vary

Facilitymedian $891 · 10th to 90th $631 to $6,310Professionalmedian $479 · 10th to 90th $339 to $631
$100.0$500.0$2.0K$10.0Kfacility $891professional $479

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
$812.83
Median
$831.76
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,412.54
Typical High
$1,513.56
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,174.90
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$630.96
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$645.65

Where New Jersey 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.

New Jersey $525 · 31st 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.