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Genetic Test for a Specific Bacterium

Georgia 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 Georgia, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $46.77 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$31.62$22.91 to $36.31
FacilityA hospital or hospital-owned outpatient department$46.77$35.48 to $70.79

How much rates vary

Facilitymedian $47 · 10th to 90th $28 to $112Professionalmedian $32 · 10th to 90th $17 to $62
$20$50$100$200$500facility $47professional $32

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
$23.44
Median
$54.95
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$32.36
Typical High
$61.66
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$21.88
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$35.48
Typical High
$56.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$45.71
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$69.18
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$42.66
Typical High
$112.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$275.42
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$602.56
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$63.10

Where Georgia 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.

Georgia· 26th 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.