go back

Genetic Test for a Respiratory Bacterium

Tennessee 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?

$38.90

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $38.90 for this service. Most negotiated rates run $25.12 to $145.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $72 · 10th to 90th $28 to $126Professionalmedian $35 · 10th to 90th $17 to $309
$10$20$50$100$200facility $72professional $35

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
$26.30
Median
$28.18
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$27.54
Typical High
$53.70
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.18
Median
$13.80
Typical High
$19.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.25
Median
$5.50
Typical High
$8.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$9.55
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$35.48
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$72.44
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$23.44
Typical High
$66.07
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$23.99
Typical High
$50.12

Where Tennessee 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.

Tennessee· 25th of 51

$38.90

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.