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Drug-Resistant Bacteria Gene Screening Test

South 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?

$31.62

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $64.57 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$28.84$27.54 to $41.69
FacilityA hospital or hospital-owned outpatient department$64.57$30.20 to $112

How much rates vary

Facilitymedian $65 · 10th to 90th $28 to $166Professionalmedian $29 · 10th to 90th $27 to $49
$20$50$100$200facility $65professional $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
$27.54
Median
$87.10
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$104.71
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$23.99
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$35.48
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.99
Typical High
$48.98

Where South 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.

South Carolina· 43rd of 51

$31.62

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.