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Genetic Test for a Specific Bacterium

Alaska rates for HCPCS 87563

A laboratory test that looks for the genetic material of one specific type of bacterium, using a technique that amplifies small amounts of genetic material so even a low level of the organism can be detected. A sample is collected from the site suspected of infection, such as urine, a swab, or another bodily specimen. Results help confirm or rule out infection by this particular organism.

Rates data updated July 2026.

How much does Genetic Test for a Specific Bacterium cost?

$89.13

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $166 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$79.43$33.11 to $112
FacilityA hospital or hospital-owned outpatient department$166$95.50 to $234

How much rates vary

Facilitymedian $166 · 10th to 90th $35 to $380Professionalmedian $79 · 10th to 90th $25 to $117
$50$100$200facility $166professional $79

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
$95.50
Median
$229.09
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$52.48
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$112.20
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$141.25
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$97.72
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$104.71

Where Alaska sits

The same service costs 3.7 times more in West Virginia than in Rhode Island. 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.

Alaska· 2nd of 51

$89.13

WV $97.72RI $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.