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Genetic Test for a Respiratory Bacterium

Iowa 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 $66 · 10th–90th $27$1660%10%10th90th$66Professionalmedian $41 · 10th–90th $25$2140%10%10th90th$41$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$26.92
Median
$83.18
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$83.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$58.88
Typical High
$93.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$109.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$45.71
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$46.77
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.02
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$29.51
Typical High
$97.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48