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MRSA Detection By Genetic Testing

Illinois rates for HCPCS 87641

A laboratory test that looks directly for the genetic material of methicillin-resistant Staphylococcus aureus, a type of staph bacteria that resists many common antibiotics, using a technique that amplifies tiny amounts of its genetic material to detect it quickly. It is typically run on a swab from the nose, skin, or a wound. This method gives faster, more sensitive results than waiting for bacteria to grow in a traditional culture.

Rates data updated July 2026.

How much does MRSA Detection By Genetic Testing cost?

$58.88

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $158 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$28.84$24.55 to $41.69
FacilityA hospital or hospital-owned outpatient department$158$64.57 to $219

How much rates vary

Facilitymedian $158 · 10th to 90th $47 to $257Professionalmedian $29 · 10th to 90th $3 to $68
$5$10$20$50$100$200facility $158professional $29

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
$51.29
Median
$169.82
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$17.38
Typical High
$46.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$95.50
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$23.99
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$47.86
Typical High
$67.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$61.66
Typical High
$165.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$26.92
Typical High
$67.61

Where Illinois sits

The same service costs 4.0 times more in West Virginia than in Washington, DC. 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· 11th of 51

$58.88

WV $105DC $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.