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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 July 2026.

Facilitymedian $38 · 10th–90th $28$1620%10%10th90th$38Professionalmedian $30 · 10th–90th $23$520%20%10th90th$30$10.0$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
$27.54
Median
$38.02
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$28.18
Typical High
$52.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$38.90
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$83.18
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$63.10
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$35.48
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$25.12
Typical High
$50.12