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Genetic Test for a Respiratory Bacterium

Michigan 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 October 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$33.11

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $34.67 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.11$26.30 to $41.69
FacilityA hospital or hospital-owned outpatient department$34.67$33.11 to $52.48

How much rates vary

Facilitymedian $35 · 10th to 90th $28 to $72Professionalmedian $33 · 10th to 90th $25 to $55
$10$20$50$100facility $35professional $33

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$52.48
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$16.60
Median
$16.60
Typical High
$26.30
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$6.61
Median
$6.61
Typical High
$10.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$35.48
Typical High
$50.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.85
Median
$17.38
Typical High
$17.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.46
Median
$6.92
Typical High
$7.08
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$37.15
Typical High
$66.07
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$26.30
Typical High
$26.30
CareSource
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$38.90
Typical High
$47.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$27.54
Typical High
$53.70
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$41.69
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$16.60
Median
$16.60
Typical High
$26.30
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$6.61
Median
$6.61
Typical High
$10.47
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$46.77
Typical High
$61.66
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Priority Health
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$26.92
Typical High
$48.98
United
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$31.62
Typical High
$41.69
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$28.84
Typical High
$48.98

Where Michigan sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Michigan· 35th of 51

$33.11

AK $79.43MD $26.30

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.