go back

Genetic Test for a Respiratory Bacterium

Vermont 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?

$35.48

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $155 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 5 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$35.48$23.99 to $43.65
FacilityA hospital or hospital-owned outpatient department$155$58.88 to $204

How much rates vary

Facilitymedian $155 · 10th to 90th $35 to $468Professionalmedian $35 · 10th to 90th $19 to $46
$20$50$100$200$500facility $155professional $35

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$35.48
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$52.48
Typical High
$87.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$48.98
Typical High
$95.50

Where Vermont 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.

Vermont· 38th of 51

$35.48

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.