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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 October 2026.

How much does Lyme Disease Genetic Detection Test cost?

$48.98

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $39.81 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$48.98$31.62 to $72.44
FacilityA hospital or hospital-owned outpatient department$39.81$39.81 to $66.07

How much rates vary

Facilitymedian $40 · 10th to 90th $34 to $66Professionalmedian $49 · 10th to 90th $23 to $85
$20$50$100$200facility $40professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$39.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$33.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$66.07
Typical High
$83.18
Medica
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$39.81
Typical High
$64.57
Medica
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$31.62
Typical High
$72.44
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$81.28
Typical High
$95.50
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$24.55
Typical High
$48.98
Wellmark
Setting
Professional
Modifier
None
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 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.

South Dakota· 9th of 51

$48.98

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.