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Urinary And Genital Infection Test With Resistance Genes

Pennsylvania 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?

$537

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $1,230 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 8 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$380 to $537
FacilityA hospital or hospital-owned outpatient department$1,230$776 to $1,585

How much rates vary

Facilitymedian $1,230 · 10th to 90th $537 to $2,239Professionalmedian $513 · 10th to 90th $347 to $631
$500.0$1.0K$2.0Kfacility $1,230professional $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
$537.03
Median
$1,230.27
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$602.56
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$912.01
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,202.26
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$2,238.72
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$1,862.09
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,584.89
Typical High
$1,584.89
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$851.14

Where Pennsylvania 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.

Pennsylvania $537 · 28th 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.