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Drug-Resistant Bacteria Gene Screening Test

Montana 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?

$41.69

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $52.48 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$41.69$37.15 to $45.71
FacilityA hospital or hospital-owned outpatient department$52.48$43.65 to $70.79

How much rates vary

Facilitymedian $52 · 10th to 90th $35 to $110Professionalmedian $42 · 10th to 90th $35 to $52
$20$50$100$200facility $52professional $42

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
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$51.29
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$109.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$199.53
Providence
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.95
Typical High
$48.98

Where Montana 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.

Montana· 10th of 51

$41.69

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.