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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.

Facilitymedian $263 · 10th–90th $200$4370%20%10th90th$263Professionalmedian $28 · 10th–90th $19$580%20%10th90th$28$0.5$2.0$10.0$50.0$200.0

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
$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