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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.

How much does Genetic Test for a Respiratory Bacterium cost?

$36.31

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $107 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 4 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$26.30$24.55 to $36.31
FacilityA hospital or hospital-owned outpatient department$107$69.18 to $200

How much rates vary

Facilitymedian $107 · 10th to 90th $43 to $224Professionalmedian $26 · 10th to 90th $25 to $49
$20$50$100$200facility $107professional $26

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
$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

Where Rhode Island 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.

Rhode Island· 32nd of 51

$36.31

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.