go back

Staph Aureus Genetic Detection Test

South 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 July 2026.

How much does Staph Aureus Genetic Detection Test cost?

$34.67

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $87.10 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$30.20$27.54 to $41.69
FacilityA hospital or hospital-owned outpatient department$87.10$30.20 to $112

How much rates vary

Facilitymedian $87 · 10th to 90th $28 to $166Professionalmedian $30 · 10th to 90th $26 to $63
$20$50$100$200facility $87professional $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
$27.54
Median
$87.10
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.84
Typical High
$48.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$61.66
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$48.98
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$104.71
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.39
Typical High
$44.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$37.15
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$54.95

Where South Carolina 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.

South Carolina· 36th of 51

$34.67

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.