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Genetic Test for a Respiratory Bacterium

Kentucky 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?

$35.48

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $123 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 5 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$17.38 to $44.67
FacilityA hospital or hospital-owned outpatient department$123$43.65 to $234

How much rates vary

Facilitymedian $123 · 10th to 90th $29 to $372Professionalmedian $29 · 10th to 90th $17 to $56
$20$50$100$200$500facility $123professional $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
$28.84
Median
$144.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$32.36
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$75.86
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$77.62
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$29.51
Typical High
$48.98

Where Kentucky 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.

Kentucky· 42nd of 51

$35.48

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.