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Lyme Disease Genetic Detection Test

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $105 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$28.18$27.54 to $37.15
FacilityA hospital or hospital-owned outpatient department$105$48.98 to $166

How much rates vary

Facilitymedian $105 · 10th to 90th $28 to $229Professionalmedian $28 · 10th to 90th $25 to $49
$20$50$100$200$500facility $105professional $28

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
$27.54
Median
$87.10
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$194.98
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$37.15
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$22.91
Typical High
$52.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$56.23

Where South Carolina 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.

South Carolina· 44th 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.