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Genetic Test for a Respiratory Bacterium

Maine 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 $56 · 10th–90th $35$2450%20%10th90th$56Professionalmedian $35 · 10th–90th $21$460%20%40%10th90th$35$10.0$20.0$50.0$100.0$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
$35.48
Median
$35.48
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$45.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$245.47
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.95
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$52.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$41.69
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$158.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$66.07