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Lyme Disease Bacterium Genetic Test

Texas rates for HCPCS 87477

A laboratory test that looks for the genetic material of Borrelia burgdorferi, the tick-borne bacterium that causes Lyme disease, in a sample taken from the body. Finding its genetic material points to the organism itself being present.

Rates data updated July 2026.

How much does Lyme Disease Bacterium Genetic Test cost?

$67.61

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 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 4 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$67.61$64.57 to $85.11
FacilityA hospital or hospital-owned outpatient department$66.07$38.90 to $204

How much rates vary

Facilitymedian $66 · 10th to 90th $38 to $204Professionalmedian $68 · 10th to 90th $65 to $85
$50$100$200facility $66professional $68

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$67.61
Typical High
$85.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$79.43
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$79.43
Providence
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Texas sits

The same service costs 5.2 times more in Massachusetts than in Virginia. 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.

Texas· 29th of 50

$67.61

MA $204VA $38.90

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.