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Genetic Test for a Respiratory Bacterium

Wyoming 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 $138 · 10th–90th $72$3630%20%10th90th$138Professionalmedian $31 · 10th–90th $23$660%20%10th90th$31$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
$93.33
Median
$138.04
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98