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Lyme Disease Genetic Detection Test

Connecticut 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?

$41.69

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $60.26 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$31.62$26.30 to $53.70
FacilityA hospital or hospital-owned outpatient department$60.26$42.66 to $77.62

How much rates vary

Facilitymedian $60 · 10th to 90th $35 to $98Professionalmedian $32 · 10th to 90th $23 to $107
$20$50$100$200facility $60professional $32

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
$60.26
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$107.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$45.71
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$70.79
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$38.02
Typical High
$81.28
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$46.77
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$29.51
Typical High
$61.66

Where Connecticut 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.

Connecticut· 15th of 51

$41.69

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.