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Drug-Resistant Bacteria Gene Screening Test

Indiana 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?

$30.20

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $35.48 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 6 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$28.84$22.91 to $29.51
FacilityA hospital or hospital-owned outpatient department$35.48$35.48 to $70.79

How much rates vary

Facilitymedian $35 · 10th to 90th $35 to $105Professionalmedian $29 · 10th to 90th $17 to $33
$20$50$100$200facility $35professional $29

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
$28.84
Median
$38.90
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$33.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$17.38
Typical High
$33.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$32.36
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.44
Typical High
$43.65

Where Indiana 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.

Indiana· 46th of 51

$30.20

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.