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Genetic Test for a Specific Bacterium

Nebraska 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?

$51.29

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $77.62 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 7 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$36.31$22.91 to $60.26
FacilityA hospital or hospital-owned outpatient department$77.62$51.29 to $110

How much rates vary

Facilitymedian $78 · 10th to 90th $25 to $129Professionalmedian $36 · 10th to 90th $21 to $229
$20$50$100$200$500facility $78professional $36

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
$51.29
Median
$77.62
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$36.31
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$69.18
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$102.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$630.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$33.11
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$20.89
Typical High
$104.71

Where Nebraska 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.

Nebraska· 6th of 51

$51.29

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.