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Genetic Test for a Respiratory Bacterium

South Carolina 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 $110 · 10th–90th $28$2450%5%10%10th90th$110Professionalmedian $30 · 10th–90th $26$1000%10%20%10th90th$30$10.0$20.0$50.0$100.0$200.0$500.0

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
$27.54
Median
$87.10
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.20
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$208.93
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$36.31
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$114.82
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$52.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$54.95