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Drug-Resistant Bacteria Gene Screening Test

Tennessee 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?

$30.90

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $51.29 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$28.18$26.30 to $40.74
FacilityA hospital or hospital-owned outpatient department$51.29$35.48 to $126

How much rates vary

Facilitymedian $51 · 10th to 90th $26 to $132Professionalmedian $28 · 10th to 90th $23 to $51
$10$20$50$100$200facility $51professional $28

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
$51.29
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$27.54
Typical High
$41.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$9.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$38.90
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$83.18
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$66.07
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$35.48
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$25.12
Typical High
$50.12

Where Tennessee 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.

Tennessee· 45th of 51

$30.90

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.