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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.

How much does Lyme Disease Genetic Detection Test cost?

$66.07

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $66.07 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 7 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$60.26$27.54 to $83.18
FacilityA hospital or hospital-owned outpatient department$66.07$39.81 to $66.07

How much rates vary

Facilitymedian $66 · 10th to 90th $35 to $66Professionalmedian $60 · 10th to 90th $23 to $95
$20$50$100facility $66professional $60

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
$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

Where South 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.

South Dakota· 2nd of 51

$66.07

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.