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Urinary And Genital Infection Test With Resistance Genes

West 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 October 2026.

How much does Urinary And Genital Infection Test With Resistance Genes cost?

$525

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $1,230 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$525$316 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,230$525 to $1,585

How much rates vary

Facilitymedian $1,230 · 10th to 90th $525 to $1,905Professionalmedian $525 · 10th to 90th $269 to $1,175
$500$1K$2Kfacility $1,230professional $525

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$524.81
Typical High
$537.03
CareSource
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$1,230.27
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$316.23
Typical High
$1,174.90

Where West Virginia sits

The same service costs 11.7 times more in Texas than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 28th of 51

$525

TX $3,162NM $269

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.