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Genetic Test for a Specific Bacterium

Arizona 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?

$29.51

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $53.70 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$23.44 to $36.31
FacilityA hospital or hospital-owned outpatient department$53.70$31.62 to $105

How much rates vary

Facilitymedian $54 · 10th to 90th $28 to $141Professionalmedian $29 · 10th to 90th $19 to $50
$20$50$100$200facility $54professional $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
$28.18
Median
$53.70
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$29.51
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$87.10
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$30.90
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$35.48
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$31.62
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$35.48
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$44.67

Where Arizona 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.

Arizona· 47th of 51

$29.51

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.