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Genetic Test for a Respiratory Bacterium

Ohio 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 October 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$29.51

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $51.29 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$17.38 to $38.90
FacilityA hospital or hospital-owned outpatient department$51.29$37.15 to $77.62

How much rates vary

Facilitymedian $51 · 10th to 90th $33 to $224Professionalmedian $22 · 10th to 90th $17 to $59
$20$50$100$200$500facility $51professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$77.62
Typical High
$489.78
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$16.60
Median
$38.02
Typical High
$245.47
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$6.61
Median
$15.14
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$29.51
Typical High
$109.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.13
Median
$14.13
Typical High
$48.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.62
Median
$5.62
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$17.38
Typical High
$17.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$40.74
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$47.86
CareSource
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$45.71
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.88
Typical High
$66.07
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$50.12
Typical High
$426.58
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$19.95
Typical High
$58.88
Molina
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$31.62
Typical High
$43.65
SummaCare
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$43.65
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$31.62
Typical High
$52.48
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$50.12

Where Ohio sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Ohio· 41st of 51

$29.51

AK $79.43MD $26.30

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.