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Genetic Test for a Specific Bacterium

Michigan 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?

$33.11

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $36.31 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$31.62$25.12 to $35.48
FacilityA hospital or hospital-owned outpatient department$36.31$33.11 to $53.70

How much rates vary

Facilitymedian $36 · 10th to 90th $32 to $83Professionalmedian $32 · 10th to 90th $19 to $39
$20$50$100facility $36professional $32

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
$31.62
Median
$37.15
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$32.36
Typical High
$36.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.38
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$39.81
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.30
Typical High
$26.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$40.74
Typical High
$53.70
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.88
Typical High
$61.66
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$47.86
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$95.50

Where Michigan 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.

Michigan· 38th of 51

$33.11

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.