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Lyme Disease Genetic Detection Test

South 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.

Facilitymedian $66 · 10th–90th $35$660%50%10th$66Professionalmedian $60 · 10th–90th $23$950%10%10th90th$60$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$27.54
Typical High
$33.11
Avera
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$380.19
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$60.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48