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Genetic Test for a Specific Bacterium

Colorado 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?

$37.15

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $87.10 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$26.92$23.44 to $35.48
FacilityA hospital or hospital-owned outpatient department$87.10$46.77 to $158

How much rates vary

Facilitymedian $87 · 10th to 90th $28 to $166Professionalmedian $27 · 10th to 90th $19 to $37
$20$50$100$200facility $87professional $27

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
$26.92
Median
$77.62
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$104.71
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$33.88
Typical High
$51.29
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$52.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$199.53
Select Health
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$74.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$35.48

Where Colorado 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.

Colorado· 17th of 51

$37.15

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.