go back

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.

Rates data updated July 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$60.26

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $110 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 6 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$40.74$22.91 to $97.72
FacilityA hospital or hospital-owned outpatient department$110$69.18 to $263

How much rates vary

Facilitymedian $110 · 10th to 90th $25 to $380Professionalmedian $41 · 10th to 90th $23 to $263
$20$50$100$200facility $110professional $41

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
$61.66
Median
$144.54
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$40.74
Typical High
$263.03
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
$66.07
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
$14.79
Median
$33.11
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$20.89
Typical High
$97.72

Where Nebraska 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.

Nebraska· 3rd of 51

$60.26

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.