Genetic Test for a Respiratory Bacterium

Delaware 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 Delaware, October 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $75.86 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$25.12	$20.89 to $29.51
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$75.86	$28.84 to $115

How much rates vary

Facilitymedian $76 · 10th to 90th $23 to $170Professionalmedian $25 · 10th to 90th $16 to $66

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $36.31	Facility	None	$28.84	$28.84	$36.31
Aetna Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $40.74	Professional	None	$23.44	$28.84	$40.74
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $75.86	Facility	None	$22.91	$22.91	$75.86
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $70.79	Professional	None	$21.38	$25.12	$70.79
Highmark BCBS Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $169.82	Facility	None	$89.13	$114.82	$169.82
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $52.48	Professional	None	$14.79	$20.89	$52.48

Where Delaware 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.

Delaware· 46th 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.