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Genetic Test for a Specific Bacterium

Maryland 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?

$29.51

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $29.51 for this service. Most negotiated rates run $22.91 to $36.31.

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 $93 · 10th to 90th $19 to $209Professionalmedian $30 · 10th to 90th $19 to $39
$20$50$100$200facility $93professional $30

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
$19.50
Median
$97.72
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$38.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.85
Typical High
$33.11
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18

Where Maryland 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.

Maryland· 46th of 51

$29.51

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.