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MRSA Detection By Genetic Testing

North Carolina 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?

$48.98

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $102 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 8 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$36.31$28.18 to $46.77
FacilityA hospital or hospital-owned outpatient department$102$44.67 to $182

How much rates vary

Facilitymedian $102 · 10th to 90th $28 to $355Professionalmedian $36 · 10th to 90th $26 to $65
$20$50$100$200$500facility $102professional $36

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
$28.18
Median
$109.65
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.90
Typical High
$64.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$75.86
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$23.44
Typical High
$58.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$41.69
Typical High
$81.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$45.71
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$309.03

Where North Carolina 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.

North Carolina· 17th of 51

$48.98

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.