go back

Drug-Resistant Bacteria Gene Screening Test

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $31.62 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 7 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$31.62$28.18 to $41.69
FacilityA hospital or hospital-owned outpatient department$74.13$30.90 to $115

How much rates vary

Facilitymedian $74 · 10th to 90th $28 to $200Professionalmedian $32 · 10th to 90th $25 to $52
$20$50$100$200facility $74professional $32

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
$28.18
Median
$74.13
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$48.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$64.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$40.74
Typical High
$85.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$45.71
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19

Where North Carolina 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.

North Carolina· 37th 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.