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Genetic Test for a Specific Bacterium

Washington, DC 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?

$26.30

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $117 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$26.30$25.70 to $27.54
FacilityA hospital or hospital-owned outpatient department$117$26.30 to $550

How much rates vary

Facilitymedian $117 · 10th to 90th $26 to $617Professionalmedian $26 · 10th to 90th $26 to $95
$20$50$100$200$500facility $117professional $26

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
$26.30
Median
$131.83
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$26.30
Typical High
$27.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$70.79
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$79.43
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$33.11
Typical High
$181.97

Where Washington, DC 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.

Washington, DC· 50th of 51

$26.30

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.