go back

Staph Aureus Genetic Detection Test

New Jersey 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 July 2026.

How much does Staph Aureus Genetic Detection Test cost?

$35.48

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $77.62 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 $40.74
FacilityA hospital or hospital-owned outpatient department$77.62$52.48 to $209

How much rates vary

Facilitymedian $78 · 10th to 90th $35 to $479Professionalmedian $30 · 10th to 90th $21 to $54
$100$1K$10Kfacility $78professional $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
$44.67
Median
$81.28
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$29.51
Typical High
$53.70
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$18.62
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$77.62
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$83.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$66.07
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$35.48
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$50.12

Where New Jersey sits

The same service costs 3.2 times more in Alaska than in Vermont. 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.

New Jersey· 30th of 51

$35.48

AK $79.43VT $24.55

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.