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Genetic Test for a Specific Bacterium

Hawaii 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?

$36.31

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $36.31 for this service. Most negotiated rates run $31.62 to $41.69.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35 · 10th to 90th $29 to $48Professionalmedian $36 · 10th to 90th $19 to $52
$20$50facility $35professional $36

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
$28.84
Median
$34.67
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$35.48
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
HMSA
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$54.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$41.69
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$35.48
Typical High
$41.69
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$64.57

Where Hawaii 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.

Hawaii· 19th of 51

$36.31

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.