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Genetic Test for a Specific Bacterium

Oklahoma 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?

$41.69

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $79.43 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$33.11$20.89 to $33.11
FacilityA hospital or hospital-owned outpatient department$79.43$35.48 to $105

How much rates vary

Facilitymedian $79 · 10th to 90th $26 to $132Professionalmedian $33 · 10th to 90th $15 to $45
$20$50$100facility $79professional $33

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
$25.70
Median
$35.48
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$44.67
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.38
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$93.33
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$51.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$35.48
Typical High
$58.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$52.48
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$181.97

Where Oklahoma 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.

Oklahoma· 9th of 51

$41.69

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.