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Genetic Detection Of An Unusual Infection

Kentucky 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?

$23.99

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $30.20 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$23.99$16.22 to $27.54
FacilityA hospital or hospital-owned outpatient department$30.20$24.55 to $43.65

How much rates vary

Facilitymedian $30 · 10th to 90th $24 to $72Professionalmedian $24 · 10th to 90th $16 to $44
$20$50$100facility $30professional $24

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
$24.55
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$23.99
Typical High
$89.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$30.20
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$27.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$57.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.90
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$43.65
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$45.71
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$30.20

Where Kentucky 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.

Kentucky· 43rd of 51

$23.99

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.