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Genetic Test for a Specific Bacterium

Kansas 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?

$37.15

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $56.23 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$33.88$26.30 to $37.15
FacilityA hospital or hospital-owned outpatient department$56.23$38.90 to $81.28

How much rates vary

Facilitymedian $56 · 10th to 90th $35 to $132Professionalmedian $34 · 10th to 90th $21 to $37
$20$50$100$200facility $56professional $34

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
$37.15
Median
$75.86
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.20
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$15.49
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$60.26
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$33.88
Typical High
$42.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$50.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$20.89
Typical High
$52.48

Where Kansas 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.

Kansas· 13th of 51

$37.15

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.