go back

Drug-Resistant Bacteria Gene Screening Test

West Virginia 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?

$28.84

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $43.65 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$26.30 to $33.11
FacilityA hospital or hospital-owned outpatient department$43.65$28.84 to $52.48

How much rates vary

Facilitymedian $44 · 10th to 90th $29 to $52Professionalmedian $29 · 10th to 90th $23 to $42
$20$50$100facility $44professional $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
$28.84
Median
$43.65
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.84
Typical High
$41.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$51.29
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$169.82
Typical High
$169.82
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$48.98

Where West Virginia 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.

West Virginia· 49th of 51

$28.84

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.