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Genetic Test for a Specific Bacterium

Minnesota 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?

$39.81

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $93.33 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$39.81$31.62 to $51.29
FacilityA hospital or hospital-owned outpatient department$93.33$35.48 to $120

How much rates vary

Facilitymedian $93 · 10th to 90th $35 to $257Professionalmedian $40 · 10th to 90th $23 to $115
$20$50$100$200facility $93professional $40

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
$33.11
Median
$93.33
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$33.11
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$70.79
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$257.04
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$64.57
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.18
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$46.77
Typical High
$181.97

Where Minnesota 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.

Minnesota· 11th of 51

$39.81

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.