go back

Drug-Resistant Bacteria Gene Screening Test

Vermont 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?

$45.71

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $38.90 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$45.71$24.55 to $45.71
FacilityA hospital or hospital-owned outpatient department$38.90$36.31 to $204

How much rates vary

Facilitymedian $39 · 10th to 90th $35 to $447Professionalmedian $46 · 10th to 90th $25 to $51
$20$50$100$200$500facility $39professional $46

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$45.71
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$204.17
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$51.29
Typical High
$72.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$48.98
Typical High
$95.50

Where Vermont 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.

Vermont· 3rd of 51

$45.71

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.