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Genetic Test for a Respiratory Bacterium

Kansas 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.

Facilitymedian $76 · 10th–90th $37$1150%10%10th90th$76Professionalmedian $35 · 10th–90th $23$1100%10%10th90th$35$10.0$20.0$50.0$100.0$200.0$500.0

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
$43.65
Median
$79.43
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.88
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$70.79
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$61.66
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$33.88
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$46.77
Typical High
$91.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.44
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98