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Lyme Disease Genetic Detection Test

Alabama rates for HCPCS 87476

This laboratory test looks for genetic material from the bacterium that causes Lyme disease, using a technique that amplifies small amounts of genetic material so it can be detected. It is typically used alongside or after antibody-based blood testing when there's a need to directly detect the organism rather than the body's immune response to it. Results help support a Lyme disease diagnosis in the appropriate clinical setting.

Rates data updated October 2026.

How much does Lyme Disease Genetic Detection Test cost?

$39.81

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $39.81 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$23.44$17.38 to $40.74
FacilityA hospital or hospital-owned outpatient department$39.81$39.81 to $39.81

How much rates vary

Facilitymedian $40 · 10th to 90th $40 to $40Professionalmedian $23 · 10th to 90th $15 to $41
$20$50$100$200facility $40professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$53.70
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.80
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.50
Median
$8.13
Typical High
$8.13
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
BCBS Alabama
Setting
Professional
Modifier
21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 55 · Aftercare only + 99 · Multiple modifiers
Typical Low
$15.49
Median
$22.91
Typical High
$22.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$29.51
Typical High
$112.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$21.88
Typical High
$199.53
United
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$31.62
Typical High
$35.48
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$17.38
Typical High
$23.99

Where Alabama sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Alabama· 19th of 51

$39.81

AK $79.43MD $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.