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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 July 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$36.31

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $91.20 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 4 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$26.92$23.44 to $40.74
FacilityA hospital or hospital-owned outpatient department$91.20$36.31 to $1,259

How much rates vary

Facilitymedian $91 · 10th to 90th $29 to $1,514Professionalmedian $27 · 10th to 90th $23 to $105
$20$50$100$200$500$1Kfacility $91professional $27

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
$28.84
Median
$91.20
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.92
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$23.44
Typical High
$66.07
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$26.30
Typical High
$54.95

Where Delaware 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.

Delaware· 34th of 51

$36.31

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.