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Genetic Test for a Respiratory Bacterium

Oregon 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?

$41.69

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $43.65 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 8 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$41.69$33.88 to $53.70
FacilityA hospital or hospital-owned outpatient department$43.65$35.48 to $70.79

How much rates vary

Facilitymedian $44 · 10th to 90th $35 to $141Professionalmedian $42 · 10th to 90th $25 to $69
$20$50$100$200facility $44professional $42

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
$45.71
Median
$97.72
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$41.69
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$38.90
Typical High
$63.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$75.86
Typical High
$91.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$66.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$61.66
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$70.79
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$48.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$104.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$104.71
Typical High
$138.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.95
Typical High
$48.98

Where Oregon 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.

Oregon· 18th of 51

$41.69

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.