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Genetic Test for a Respiratory Bacterium

Rhode Island 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.

Facilitymedian $107 · 10th–90th $43$2240%20%10th90th$107Professionalmedian $26 · 10th–90th $25$490%20%10th90th$26$20.0$50.0$100.0$200.0

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
$77.62
Median
$199.53
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$36.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$27.54
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$35.48
Typical High
$69.18