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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.

Rates data updated July 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$46.77

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $61.66 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$31.62$26.30 to $54.95
FacilityA hospital or hospital-owned outpatient department$61.66$47.86 to $79.43

How much rates vary

Facilitymedian $62 · 10th to 90th $35 to $129Professionalmedian $32 · 10th to 90th $23 to $107
$20$50$100$200facility $62professional $32

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
$63.10
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$107.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$54.95
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
$70.79
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
$46.77
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$29.51
Typical High
$58.88

Where Connecticut 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.

Connecticut· 10th of 51

$46.77

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.