go back

Lyme Disease Genetic Detection Test

West Virginia 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?

$33.88

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $33.88 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.11$21.38 to $95.50
FacilityA hospital or hospital-owned outpatient department$33.88$31.62 to $87.10

How much rates vary

Facilitymedian $34 · 10th to 90th $29 to $148Professionalmedian $33 · 10th to 90th $17 to $234
$20$50$100$200facility $34professional $33

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
$28.84
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$28.84
Typical High
$29.51
CareSource
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$75.86
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$67.61
Typical High
$234.42
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$109.65
Typical High
$186.21
United
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
United
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$24.55
Typical High
$95.50

Where West Virginia 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.

West Virginia· 34th of 51

$33.88

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.