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Staph Aureus Genetic Detection Test

Illinois rates for HCPCS 87640

This laboratory test detects genetic material from a common bacterium that can cause skin infections, pneumonia, and bloodstream infections, using a technique that amplifies tiny amounts of its genetic material to make it detectable. It is faster than growing the organism in a culture and is often used to quickly identify this particular bacterium in a sample. It does not, by itself, indicate whether the bacterium is resistant to common antibiotics.

Rates data updated October 2026.

How much does Staph Aureus Genetic Detection Test cost?

$26.92

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $75.86 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.92$4.37 to $28.84
FacilityA hospital or hospital-owned outpatient department$75.86$47.86 to $120

How much rates vary

Facilitymedian $76 · 10th to 90th $39 to $204Professionalmedian $27 · 10th to 90th $3 to $48
$5$10$20$50$100$200$500facility $76professional $27

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$42.66
Typical High
$107.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$28.84
Typical High
$44.67
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$75.86
Typical High
$363.08
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$23.99
Typical High
$26.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$38.90
Median
$81.28
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$47.86
Typical High
$72.44
Hally Health
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$52.48
Typical High
$125.89
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$41.69
Typical High
$43.65
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$22.91
Typical High
$38.02
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
59 · Distinct service
Typical Low
$17.38
Median
$17.38
Typical High
$17.38

Where Illinois sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Illinois· 49th of 51

$26.92

AK $79.43MD $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.