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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.

Rates data updated July 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$46.77

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $70.79 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$35.48$26.30 to $46.77
FacilityA hospital or hospital-owned outpatient department$70.79$52.48 to $97.72

How much rates vary

Facilitymedian $71 · 10th to 90th $37 to $112Professionalmedian $35 · 10th to 90th $23 to $50
$20$50$100$200facility $71professional $35

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
$37.15
Median
$75.86
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$50.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$17.38
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
$31.62
Median
$61.66
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
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
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$56.23

Where Kansas 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.

Kansas· 11th of 51

$46.77

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.