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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 July 2026.

How much does Lyme Disease Genetic Detection Test cost?

$37.15

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $40.74 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 4 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$27.54$23.44 to $40.74
FacilityA hospital or hospital-owned outpatient department$40.74$38.02 to $48.98

How much rates vary

Facilitymedian $41 · 10th to 90th $35 to $71Professionalmedian $28 · 10th to 90th $21 to $41
$20$50$100facility $41professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$27.54
Typical High
$40.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.05
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$21.88
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$31.62
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$17.78
Typical High
$48.98

Where Alabama sits

The same service costs 3.0 times more in Alaska 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.

Alabama· 27th of 51

$37.15

AK $79.43DC $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.