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Genetic Detection Of An Unusual Infection

Illinois 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?

$30.20

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $48.98 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 5 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$24.55$22.91 to $30.90
FacilityA hospital or hospital-owned outpatient department$48.98$31.62 to $61.66

How much rates vary

Facilitymedian $49 · 10th to 90th $26 to $112Professionalmedian $25 · 10th to 90th $3 to $55
$5$10$20$50$100$200$500facility $49professional $25

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
$24.55
Median
$46.77
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$24.55
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$22.91
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$36.31
Typical High
$50.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$52.48
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.98
Typical High
$30.20

Where Illinois 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.

Illinois· 27th of 51

$30.20

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.