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Gastrointestinal Pathogen Panel

New Jersey rates for HCPCS 87506

A stool test that looks for the genetic material of a group of germs that cause diarrhea and vomiting, covering bacteria, viruses and parasites in a single run. It identifies a cause faster than waiting for organisms to grow in culture.

Rates data updated July 2026.

How much does Gastrointestinal Pathogen Panel cost?

$245

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $575 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 7 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$209$170 to $245
FacilityA hospital or hospital-owned outpatient department$575$363 to $1,175

How much rates vary

Facilitymedian $575 · 10th to 90th $263 to $2,344Professionalmedian $209 · 10th to 90th $155 to $339
$100$500$2K$10Kfacility $575professional $209

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
$302.00
Median
$501.19
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$131.83
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$575.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$426.58
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$263.03
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$309.03

Where New Jersey sits

The same service costs 3.0 times more in Alaska than in Oklahoma. 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.

New Jersey· 35th of 51

$245

AK $589OK $195

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.