Diffusion and flow matching models have recently driven significant breakthroughs in generative modeling. While state-of-the-art models produce high-quality samples on average, individual samples can still be low quality. Detecting such samples without human inspection remains a challenging task. To address this, we propose a Bayesian framework for estimating the generative uncertainty of synthetic samples. We outline how to make Bayesian inference practical for large, modern generative models and introduce a new semantic likelihood to address the challenges posed by high-dimensional sample spaces. Through our experiments, we demonstrate that the proposed generative uncertainty effectively identifies poor-quality samples and significantly outperforms existing uncertainty-based methods. Notably, our Bayesian framework can be applied post-hoc to any pretrained diffusion or flow matching model (via the Laplace approximation), and we propose simple yet effective techniques to minimize its computational overhead during sampling.