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Genetic Test for a Specific Bacterium

Indiana 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?

$31.62

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $31.62 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $40.74 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 6 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$28.84$22.91 to $31.62
FacilityA hospital or hospital-owned outpatient department$40.74$35.48 to $95.50

How much rates vary

Facilitymedian $41 · 10th to 90th $35 to $117Professionalmedian $29 · 10th to 90th $14 to $36
$20$50$100$200facility $41professional $29

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
$33.88
Median
$52.48
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$28.84
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$24.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$20.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$32.36
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$56.23

Where Indiana 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.

Indiana· 42nd of 51

$31.62

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.