go back

Gene-Based Identification Of An Organism

Rhode Island rates for HCPCS 87153

After a microorganism has been grown from a sample in the laboratory, this test uses gene sequencing to identify exactly which organism it is. It's used when the organism doesn't have a standard named test of its own, so the lab relies on this general genetic identification method instead. The result tells the ordering provider precisely what is growing so treatment can be targeted appropriately.

Rates data updated July 2026.

How much does Gene-Based Identification Of An Organism cost?

$138

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $347 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 4 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$87.10$87.10 to $115
FacilityA hospital or hospital-owned outpatient department$347$148 to $479

How much rates vary

Facilitymedian $347 · 10th to 90th $138 to $741Professionalmedian $87 · 10th to 90th $66 to $229
$50$100$200$500facility $347professional $87

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
$190.55
Median
$467.74
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$100.00
Typical High
$229.09

Where Rhode Island sits

The same service costs 3.4 times more in Nebraska than in Kentucky. 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.

Rhode Island· 20th of 51

$138

NE $275KY $81.28

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.