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Lyme Disease Genetic Detection Test

New Jersey 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?

$26.92

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $102 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.12$24.55 to $31.62
FacilityA hospital or hospital-owned outpatient department$102$47.86 to $339

How much rates vary

Facilitymedian $102 · 10th to 90th $32 to $2,344Professionalmedian $25 · 10th to 90th $20 to $48
$20$50$100$200$500$1K$2Kfacility $102professional $25

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
$26.92
Median
$31.62
Typical High
$52.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.92
Typical High
$41.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$12.88
Median
$13.49
Typical High
$15.85
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.25
Median
$5.37
Typical High
$6.31
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$398.11
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$97.72
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$47.86
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$45.71
Typical High
$51.29
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$35.48
Typical High
$281.84
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
United
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$38.02

Where New Jersey 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.

New Jersey· 50th of 51

$26.92

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.