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Genetic Test for a Respiratory Bacterium

New Hampshire 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 $81 · 10th–90th $37$2040%10%10th90th$81Professionalmedian $35 · 10th–90th $23$680%20%10th90th$35$10.0$20.0$50.0$100.0$200.0$500.0

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
$35.48
Median
$51.29
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$67.61
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$131.83
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$37.15
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$95.50