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Molecular Test For An Infectious Agent

New York rates for HCPCS 87487

A test that searches a sample taken from the patient for the genetic material of a particular organism, rather than relying on it growing in a culture. It is used to confirm whether that organism is behind an infection.

Rates data updated July 2026.

How much does Molecular Test For An Infectious Agent cost?

$42.66

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $74.13 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 9 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$36.31$25.70 to $57.54
FacilityA hospital or hospital-owned outpatient department$74.13$44.67 to $100

How much rates vary

Facilitymedian $74 · 10th to 90th $36 to $117Professionalmedian $36 · 10th to 90th $21 to $102
$10.0$100.0$1.0K$10.0Kfacility $74professional $36

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$74.13
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$36.31
Typical High
$77.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$112.20
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$42.66
Typical High
$42.66
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$109.65
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$60.26
Typical High
$223.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$51.29
Typical High
$109.65
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$36.31
Typical High
$81.28
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$75.86
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$81.28
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$33.11
Typical High
$120.23
Univera
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$134.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$134.90

Where New York sits

The same service costs 3.0 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $42.66 · 36th of 51
AK $95.50DC $32.36

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.