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Genetic Test for a Respiratory Bacterium

Washington, DC 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 October 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$28.18

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $28.18 for this service. Most negotiated rates run $25.12 to $41.69.

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.

How much rates vary

Facilitymedian $63 · 10th to 90th $26 to $112Professionalmedian $28 · 10th to 90th $21 to $59
$20$50$100$200facility $63professional $28

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
$26.30
Median
$63.10
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.30
Typical High
$38.02
CareFirst
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$28.18
Typical High
$48.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$58.88
Typical High
$134.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$40.74
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$70.79
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$41.69

Where Washington, DC sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Washington, DC· 45th of 51

$28.18

AK $79.43MD $26.30

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.