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Genetic Test for a Respiratory Bacterium

Utah 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.

Facilitymedian $148 · 10th–90th $41$2090%20%10th90th$148Professionalmedian $32 · 10th–90th $26$520%20%10th90th$32$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
$69.18
Median
$169.82
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$41.69
Typical High
$70.79
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$47.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$36.31
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$41.69