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Genetic Detection Of An Unusual Infection

Iowa rates for HCPCS 87797

A laboratory test that searches a patient sample for the genetic material of an infecting organism that has no standard named test of its own. A probe binds directly to the organism's genetic material, without a copying step first to boost the amount present. Each organism looked for is billed separately.

Rates data updated July 2026.

How much does Genetic Detection Of An Unusual Infection cost?

$28.84

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $46.77 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 8 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$26.30$22.91 to $50.12
FacilityA hospital or hospital-owned outpatient department$46.77$30.20 to $79.43

How much rates vary

Facilitymedian $47 · 10th to 90th $23 to $87Professionalmedian $26 · 10th to 90th $18 to $166
$20$50$100$200facility $47professional $26

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
$22.91
Median
$70.79
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.44
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$72.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$77.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$36.31
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$18.20
Typical High
$77.62
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Iowa sits

The same service costs 3.1 times more in Alaska than in Delaware. 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.

Iowa· 28th of 51

$28.84

AK $67.61DE $21.88

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.