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Genetic Test for a Respiratory Bacterium

North Carolina 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.

Facilitymedian $120 · 10th–90th $35$2690%10%10th90th$120Professionalmedian $33 · 10th–90th $23$600%10%20%10th90th$33$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
$35.48
Median
$120.23
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$25.70
Typical High
$58.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$85.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$309.03