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Drug-Resistant Bacteria Gene Screening Test

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $186 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$34.67$30.90 to $40.74
FacilityA hospital or hospital-owned outpatient department$186$40.74 to $186

How much rates vary

Facilitymedian $186 · 10th to 90th $35 to $245Professionalmedian $35 · 10th to 90th $21 to $47
$20$50$100$200facility $186professional $35

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
$34.67
Median
$186.21
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$41.69
Typical High
$70.79
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$42.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98

Where Utah 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.

Utah· 23rd 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.