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Drug-Resistant Bacteria Gene Screening Test

Massachusetts 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?

$35.48

Typical negotiated rate. In Massachusetts, 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 $81.28 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$35.48$35.48 to $43.65
FacilityA hospital or hospital-owned outpatient department$81.28$48.98 to $107

How much rates vary

Facilitymedian $81 · 10th to 90th $32 to $126Professionalmedian $35 · 10th to 90th $25 to $87
$20$50$100$200$500$1K$2Kfacility $81professional $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
$24.55
Median
$69.18
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$104.71
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$114.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$56.23
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$42.66
Typical High
$91.20
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$208.93
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$50.12
Typical High
$58.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$67.61
Health New England
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$114.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$79.43

Where Massachusetts 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.

Massachusetts· 33rd of 51

$35.48

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.