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Genetic Test for a Respiratory Bacterium

Maryland 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?

$28.84

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $28.84 for this service. Most negotiated rates run $22.91 to $41.69.

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.

How much rates vary

Facilitymedian $263 · 10th to 90th $200 to $437Professionalmedian $28 · 10th to 90th $19 to $58
$1.0$10.0$100.0facility $263professional $28

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
$204.17
Median
$263.03
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.84
Typical High
$87.10
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.12
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$69.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.42
Typical High
$32.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$34.67
Typical High
$34.67

Where Maryland sits

The same service costs 2.5 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $28.84 · 50th of 51
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.