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Lyme Disease Genetic Detection Test

Utah 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?

$34.67

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $40.74 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$34.67$21.38 to $41.69
FacilityA hospital or hospital-owned outpatient department$40.74$34.67 to $186

How much rates vary

Facilitymedian $41 · 10th to 90th $35 to $245Professionalmedian $35 · 10th to 90th $21 to $60
$20$50$100$200facility $41professional $35

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
$34.67
Median
$186.21
Typical High
$245.47
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$17.38
Median
$93.33
Typical High
$123.03
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$6.92
Median
$38.02
Typical High
$48.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$38.02
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$50.12
Typical High
$67.61
Molina
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$38.02
Typical High
$50.12
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$40.74
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$42.66
Select Health
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$50.12
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$20.89
Typical High
$21.38

Where Utah 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.

Utah· 33rd of 51

$34.67

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.