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Genetic Test for a Respiratory Bacterium

Missouri 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 $60 · 10th–90th $34$1200%10%10th90th$60Professionalmedian $34 · 10th–90th $17$720%10%10th90th$34$10.0$20.0$50.0$100.0$200.0$500.0

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
$33.88
Median
$61.66
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.38
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$32.36
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$30.20
Typical High
$162.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.84
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$35.48
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$52.48