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Drug-Resistant Bacteria Gene Screening Test

New Jersey 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?

$38.90

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $31.62 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 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$31.62$26.92 to $41.69
FacilityA hospital or hospital-owned outpatient department$81.28$64.57 to $209

How much rates vary

Facilitymedian $81 · 10th to 90th $41 to $479Professionalmedian $32 · 10th to 90th $23 to $55
$100$1K$10Kfacility $81professional $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
$44.67
Median
$81.28
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$31.62
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$77.62
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.02
Typical High
$93.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$66.07
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$35.48
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$50.12

Where New Jersey 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.

New Jersey· 24th of 51

$38.90

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.