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MRSA Detection By Genetic Testing

Kentucky 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?

$35.48

Typical negotiated rate. In Kentucky, 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 $75.86 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$17.38 to $41.69
FacilityA hospital or hospital-owned outpatient department$75.86$38.02 to $214

How much rates vary

Facilitymedian $76 · 10th to 90th $29 to $257Professionalmedian $30 · 10th to 90th $17 to $54
$20$50$100$200facility $76professional $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
$28.84
Median
$85.11
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$32.36
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$43.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$37.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$48.98
Typical High
$66.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$75.86
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$77.62
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$35.48
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$29.51
Typical High
$48.98

Where Kentucky 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.

Kentucky· 48th of 51

$35.48

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.