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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 July 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$34.67

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $41.69 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

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$41.69$33.11 to $58.88

How much rates vary

Facilitymedian $42 · 10th to 90th $33 to $69Professionalmedian $33 · 10th to 90th $23 to $54
$20$50$100facility $42professional $33

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
$33.11
Median
$45.71
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$38.90
Typical High
$53.70
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$117.49
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$45.71
Typical High
$64.57
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.84
Typical High
$48.98

Where Michigan sits

The same service costs 2.5 times more in Alaska than in Washington, DC. 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· 46th of 51

$34.67

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.