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Genetic Test for a Respiratory Bacterium

Hawaii 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?

$43.65

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $43.65 for this service. Most negotiated rates run $33.11 to $63.10.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $29 to $42Professionalmedian $44 · 10th to 90th $23 to $87
$20$50$100facility $35professional $44

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
$34.67
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$35.48
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$41.69
HMSA
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$48.98
Typical High
$52.48
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$63.10
Typical High
$91.20

Where Hawaii 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.

Hawaii· 17th of 51

$43.65

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.