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Urinary And Genital Infection Test With Resistance Genes

New Mexico 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?

$479

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $832 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 3 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$380 to $794
FacilityA hospital or hospital-owned outpatient department$832$575 to $1,230

How much rates vary

Facilitymedian $832 · 10th to 90th $427 to $1,905Professionalmedian $479 · 10th to 90th $269 to $794
$500.0$1.0K$2.0Kfacility $832professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,905.46
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$794.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$794.33
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$575.44
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$380.19

Where New Mexico 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 Mexico $479 · 43rd 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.