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Genetic Test for a Respiratory Bacterium

Alabama rates for HCPCS 87486

A laboratory test that detects genetic material from a specific type of bacterium linked to respiratory tract infection, using a technique that amplifies small amounts of genetic material so the test can find even a low level of the organism. A sample is usually collected from the nose, throat, or lower airway. Results help identify this particular cause of a cough, chest infection, or pneumonia-like illness.

Rates data updated July 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$40.74

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $40.74 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 5 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$33.11$23.44 to $40.74
FacilityA hospital or hospital-owned outpatient department$40.74$38.02 to $52.48

How much rates vary

Facilitymedian $41 · 10th to 90th $32 to $71Professionalmedian $33 · 10th to 90th $21 to $63
$20$50$100$200facility $41professional $33

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
$35.48
Median
$40.74
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.05
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$31.62
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$48.98

Where Alabama sits

The same service costs 2.5 times more in Alaska than in Washington, DC. 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.

Alabama· 26th of 51

$40.74

AK $69.18DC $27.54

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.