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Genetic Test for a Specific Bacterium

Arkansas 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?

$30.20

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $44.67 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$29.51$23.44 to $33.88
FacilityA hospital or hospital-owned outpatient department$44.67$39.81 to $44.67

How much rates vary

Facilitymedian $45 · 10th to 90th $40 to $62Professionalmedian $30 · 10th to 90th $21 to $45
$20$50facility $45professional $30

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
$44.67
Median
$44.67
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$29.51
Typical High
$44.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$52.48
Typical High
$52.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$45.71
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$47.86

Where Arkansas 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.

Arkansas· 44th of 51

$30.20

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.