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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.

How much does Genetic Test for a Respiratory Bacterium cost?

$41.69

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $60.26 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 7 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$33.88$26.92 to $58.88
FacilityA hospital or hospital-owned outpatient department$60.26$37.15 to $81.28

How much rates vary

Facilitymedian $60 · 10th to 90th $34 to $120Professionalmedian $34 · 10th to 90th $17 to $72
$20$50$100$200facility $60professional $34

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
$33.88
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

Where Missouri 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.

Missouri· 25th of 51

$41.69

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.