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Genetic Test for a Specific Bacterium

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $52.48 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$35.48$33.11 to $69.18
FacilityA hospital or hospital-owned outpatient department$52.48$35.48 to $81.28

How much rates vary

Facilitymedian $52 · 10th to 90th $35 to $107Professionalmedian $35 · 10th to 90th $25 to $81
$20$50$100facility $52professional $35

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
$42.66
Median
$58.88
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$35.48
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$67.61
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$72.44
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$51.29
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$41.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$70.79
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$37.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$45.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$35.48

Where Idaho 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.

Idaho· 32nd 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.