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Urinary And Genital Infection Test With Resistance Genes

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $871 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$479$269 to $537
FacilityA hospital or hospital-owned outpatient department$871$603 to $1,445

How much rates vary

Facilitymedian $871 · 10th to 90th $479 to $2,884Professionalmedian $479 · 10th to 90th $257 to $813
$200.0$500.0$1.0K$2.0Kfacility $871professional $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
$478.63
Median
$1,202.26
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$524.81
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,311.31
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$436.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,584.89
Typical High
$3,235.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$616.60
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Sentara
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$741.31
Typical High
$1,445.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$741.31
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$630.96
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$724.44

Where Virginia 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.

Virginia $513 · 36th 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.