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Lyme Disease Genetic Detection Test

Ohio 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?

$29.51

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $51.29 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$17.38 to $38.90
FacilityA hospital or hospital-owned outpatient department$51.29$37.15 to $77.62

How much rates vary

Facilitymedian $51 · 10th to 90th $32 to $129Professionalmedian $22 · 10th to 90th $17 to $79
$20$50$100$200facility $51professional $22

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
$35.48
Median
$85.11
Typical High
$128.82
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$16.60
Median
$38.90
Typical High
$114.82
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$6.61
Median
$15.49
Typical High
$45.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$35.48
Typical High
$288.40
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.13
Median
$14.13
Typical High
$147.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.62
Median
$5.62
Typical High
$58.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$40.74
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$47.86
Aultcare
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
CareSource
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$45.71
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.88
Typical High
$66.07
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$45.71
Typical High
$269.15
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$21.88
Typical High
$60.26
Molina
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$31.62
Typical High
$43.65
SummaCare
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$43.65
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$31.62
Typical High
$52.48
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$50.12

Where Ohio 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.

Ohio· 40th of 51

$29.51

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.