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Genetic Test for a Specific Bacterium

Oregon 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?

$35.48

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $45.71 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$33.88$29.51 to $36.31
FacilityA hospital or hospital-owned outpatient department$45.71$35.48 to $70.79

How much rates vary

Facilitymedian $46 · 10th to 90th $35 to $102Professionalmedian $34 · 10th to 90th $23 to $62
$20$50$100$200facility $46professional $34

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
$41.69
Median
$72.44
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$33.11
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$38.90
Typical High
$63.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$75.86
Typical High
$91.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$35.48
Typical High
$48.98
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$48.98
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$70.79
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$41.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$102.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$52.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$104.71
Typical High
$138.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$41.69

Where Oregon 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.

Oregon· 34th of 51

$35.48

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.