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Genetic Test for a Specific Bacterium

New Mexico 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 New Mexico, 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 $115 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$31.62$22.91 to $36.31
FacilityA hospital or hospital-owned outpatient department$115$52.48 to $214

How much rates vary

Facilitymedian $115 · 10th to 90th $32 to $295Professionalmedian $32 · 10th to 90th $19 to $39
$100$1K$10K$100Kfacility $115professional $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
$52.48
Median
$112.20
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$31.62
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$190.55
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$75.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$69.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$46.77
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$31.62
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$28.18

Where New Mexico 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.

New Mexico· 39th 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.