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Genetic Test for a Respiratory Bacterium

Connecticut 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.

Facilitymedian $63 · 10th–90th $35$1350%10%10th90th$63Professionalmedian $31 · 10th–90th $24$910%10%20%10th90th$31$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$63.10
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.90
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$45.71
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.02
Typical High
$81.28
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$29.51
Typical High
$58.88