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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 October 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$52.48

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $24.55 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$40.74 to $60.26
FacilityA hospital or hospital-owned outpatient department$24.55$24.55 to $91.20

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $178Professionalmedian $52 · 10th to 90th $25 to $71
$20$50$100$200facility $25professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$40.74
Typical High
$52.48
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$144.54
Typical High
$186.21
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$60.26
Typical High
$70.79
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$48.98
Median
$70.79
Typical High
$85.11
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.13
Median
$12.02
Typical High
$14.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$63.10
Medica
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$74.13
Medica
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$51.29
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$44.67
Typical High
$60.26

Where North Dakota sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

North Dakota· 5th of 51

$52.48

AK $79.43MD $26.30

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.