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Genetic Test for a Specific Bacterium

Connecticut 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?

$35.48

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $61.66 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$27.54$22.91 to $64.57
FacilityA hospital or hospital-owned outpatient department$61.66$35.48 to $87.10

How much rates vary

Facilitymedian $62 · 10th to 90th $35 to $115Professionalmedian $28 · 10th to 90th $19 to $87
$20$50$100$200facility $62professional $28

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
$35.48
Median
$63.10
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.30
Typical High
$123.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$54.95
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$34.67
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$56.23
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$42.66
Typical High
$72.44
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$29.51
Typical High
$60.26

Where Connecticut 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.

Connecticut· 28th of 51

$35.48

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.