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Genetic Test for a Specific Bacterium

South Carolina 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?

$34.67

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $112 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$28.84$27.54 to $37.15
FacilityA hospital or hospital-owned outpatient department$112$48.98 to $245

How much rates vary

Facilitymedian $112 · 10th to 90th $28 to $295Professionalmedian $29 · 10th to 90th $25 to $98
$20$50$100$200$500facility $112professional $29

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
$27.54
Median
$112.20
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$35.48
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.88
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$114.82
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$22.91
Typical High
$42.66
Medcost
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$31.62
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$41.69

Where South Carolina 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.

South Carolina· 36th of 51

$34.67

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.