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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 July 2026.

Facilitymedian $126 · 10th–90th $26$1740%20%10th90th$126Professionalmedian $26 · 10th–90th $26$590%50%10th90th$26$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$26.30
Median
$125.89
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$26.30
Typical High
$27.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$100.00
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$40.74
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$41.69
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.50
Typical High
$33.11