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MRSA Detection By Genetic Testing

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $95.50 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 5 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$28.18$18.62 to $45.71
FacilityA hospital or hospital-owned outpatient department$95.50$46.77 to $282

How much rates vary

Facilitymedian $95 · 10th to 90th $42 to $447Professionalmedian $28 · 10th to 90th $19 to $46
$20$50$100$200$500facility $95professional $28

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$204.17
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$51.29
Typical High
$72.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$48.98
Typical High
$95.50

Where Vermont 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.

Vermont· 49th 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.