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Lyme Disease Genetic Detection Test

North Dakota 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?

$53.70

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $30.90 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$58.88$33.11 to $70.79
FacilityA hospital or hospital-owned outpatient department$30.90$24.55 to $41.69

How much rates vary

Facilitymedian $31 · 10th to 90th $25 to $63Professionalmedian $59 · 10th to 90th $25 to $79
$20$50$100facility $31professional $59

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
$24.55
Median
$24.55
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$33.11
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$48.98
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$41.69
Typical High
$60.26

Where North Dakota 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.

North Dakota· 7th of 51

$53.70

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.