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Staph Aureus Genetic Detection Test

North Carolina 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?

$30.20

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $67.61 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$30.20$28.84 to $44.67
FacilityA hospital or hospital-owned outpatient department$67.61$28.18 to $112

How much rates vary

Facilitymedian $68 · 10th to 90th $28 to $158Professionalmedian $30 · 10th to 90th $22 to $85
$20$50$100facility $68professional $30

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$48.98
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$77.62
Typical High
$112.20
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$30.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$28.84
Typical High
$67.61
Medcost
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Medcost
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$41.69
Medcost
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$44.67
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$48.98
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
Medcost
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$17.38
Median
$22.39
Typical High
$47.86

Where North Carolina 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.

North Carolina· 38th of 51

$30.20

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.