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Genetic Test for a Respiratory Bacterium

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $63.10 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 6 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$28.84$23.99 to $41.69
FacilityA hospital or hospital-owned outpatient department$63.10$47.86 to $89.13

How much rates vary

Facilitymedian $63 · 10th to 90th $35 to $151Professionalmedian $29 · 10th to 90th $3 to $56
$5$10$20$50$100$200$500facility $63professional $29

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
$34.67
Median
$60.26
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$56.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.38
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$95.50
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$23.99
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$47.86
Typical High
$72.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$60.26
Typical High
$120.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$26.92
Typical High
$64.57

Where Illinois 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.

Illinois· 33rd 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.