go back

Genetic Test for a Specific Bacterium

Utah 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?

$37.15

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $126 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 7 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$28.84 to $48.98
FacilityA hospital or hospital-owned outpatient department$126$40.74 to $170

How much rates vary

Facilitymedian $126 · 10th to 90th $32 to $224Professionalmedian $32 · 10th to 90th $21 to $52
$20$50$100$200facility $126professional $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
$31.62
Median
$169.82
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$31.62
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$36.31
Typical High
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$141.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$39.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$35.48

Where Utah 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.

Utah· 16th of 51

$37.15

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.