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Genetic Test for a Respiratory Bacterium

North Dakota 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 $33 · 10th–90th $25$740%20%40%10th90th$33Professionalmedian $54 · 10th–90th $25$790%10%20%10th90th$54$20.0$50.0$100.0$200.0

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
$24.55
Median
$33.11
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$50.12
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$30.90
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$48.98
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$41.69
Typical High
$60.26