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Genetic Test for a Specific Bacterium

Tennessee 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?

$30.90

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $38.02 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$29.51$26.30 to $35.48
FacilityA hospital or hospital-owned outpatient department$38.02$28.18 to $95.50

How much rates vary

Facilitymedian $38 · 10th to 90th $15 to $135Professionalmedian $30 · 10th to 90th $21 to $51
$10$20$50$100$200facility $38professional $30

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
$11.48
Median
$38.02
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$28.84
Typical High
$47.86
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$17.38
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$51.29
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$48.98
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$51.29

Where Tennessee 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.

Tennessee· 43rd of 51

$30.90

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.