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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.

How much does Genetic Test for a Respiratory Bacterium cost?

$52.48

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $33.11 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 5 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$53.70$41.69 to $60.26
FacilityA hospital or hospital-owned outpatient department$33.11$24.55 to $63.10

How much rates vary

Facilitymedian $33 · 10th to 90th $25 to $74Professionalmedian $54 · 10th to 90th $25 to $79
$20$50$100facility $33professional $54

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
$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

Where North Dakota 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.

North Dakota· 4th of 51

$52.48

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.