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Drug-Resistant Bacteria Gene Screening Test

Connecticut rates for HCPCS 87500

This is a laboratory test performed on a sample, such as a swab, that looks directly for the genetic material of specific genes that make certain bacteria resistant to a commonly used antibiotic. Finding these genes indicates the bacteria present would likely not respond to that antibiotic, which matters for choosing safe and effective treatment and for preventing spread in a hospital setting. It is often used as a screening test for patients being admitted to or already in a hospital.

Rates data updated July 2026.

How much does Drug-Resistant Bacteria Gene Screening Test cost?

$40.74

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $58.88 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$34.67$26.30 to $48.98
FacilityA hospital or hospital-owned outpatient department$58.88$38.90 to $79.43

How much rates vary

Facilitymedian $59 · 10th to 90th $35 to $105Professionalmedian $35 · 10th to 90th $23 to $107
$20$50$100$200facility $59professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$107.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$44.67
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.02
Typical High
$81.28
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$46.77
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$29.51
Typical High
$58.88

Where Connecticut sits

The same service costs 3.0 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.

Connecticut· 18th of 51

$40.74

AK $79.43DC $26.30

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.