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Genetic Test for a Respiratory Bacterium

New Mexico 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 $110 · 10th–90th $42$2340%20%40%10th90th$110Professionalmedian $34 · 10th–90th $21$590%20%10th90th$34$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$41.69
Median
$109.65
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$37.15
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$223.87
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$53.70
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$53.70
Typical High
$93.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$50.12
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$21.38