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Genetic Test for a Specific Bacterium

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $25.70 from a physician practice, and about $54.95 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 8 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$25.70$22.91 to $32.36
FacilityA hospital or hospital-owned outpatient department$54.95$33.11 to $102

How much rates vary

Facilitymedian $55 · 10th to 90th $26 to $141Professionalmedian $26 · 10th to 90th $19 to $36
$10$20$50$100$200facility $55professional $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
$54.95
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$36.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.38
Typical High
$35.48
AvMed
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$35.48
Typical High
$41.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$29.51
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$28.18
Typical High
$75.86
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$29.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$25.70
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$77.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$33.11

Where Florida 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.

Florida· 45th 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.