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Lyme Disease Genetic Detection Test

Illinois 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?

$30.20

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $58.88 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$28.84$23.99 to $41.69
FacilityA hospital or hospital-owned outpatient department$58.88$37.15 to $79.43

How much rates vary

Facilitymedian $59 · 10th to 90th $30 to $174Professionalmedian $29 · 10th to 90th $3 to $72
$5$10$20$50$100$200$500facility $59professional $29

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
$29.51
Median
$56.23
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$95.50
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$23.99
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$47.86
Typical High
$72.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$72.44
Typical High
$407.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$28.18
Typical High
$95.50

Where Illinois 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.

Illinois· 43rd of 51

$30.20

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.