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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.

Facilitymedian $123 · 10th–90th $29$3720%10%10th90th$123Professionalmedian $29 · 10th–90th $17$560%10%20%10th90th$29$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
$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