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Genetic Test for a Respiratory Bacterium

Idaho 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?

$45.71

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $72.44 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 8 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$41.69$35.48 to $53.70
FacilityA hospital or hospital-owned outpatient department$72.44$45.71 to $117

How much rates vary

Facilitymedian $72 · 10th to 90th $35 to $166Professionalmedian $42 · 10th to 90th $32 to $69
$20$50$100facility $72professional $42

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
$47.86
Median
$95.50
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$45.71
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$107.15
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$72.44
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.30
Typical High
$64.57
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$70.79
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$43.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$37.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$89.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$57.54

Where Idaho 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.

Idaho· 12th of 51

$45.71

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.