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Genetic Test for a Respiratory Bacterium

Nebraska 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 $105 · 10th–90th $33$2630%5%10%10th90th$105Professionalmedian $43 · 10th–90th $23$2290%10%10th90th$43$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
$61.66
Median
$134.90
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$42.66
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$91.20
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$20.89
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$20.89
Typical High
$72.44