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Genetic Detection Of An Unusual Infection

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $58.88 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$30.20$23.44 to $33.88
FacilityA hospital or hospital-owned outpatient department$58.88$38.02 to $83.18

How much rates vary

Facilitymedian $59 · 10th to 90th $23 to $98Professionalmedian $30 · 10th to 90th $18 to $79
$20$50$100$200$500$1K$2Kfacility $59professional $30

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
$19.05
Median
$53.70
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.38
Typical High
$89.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$33.88
Typical High
$97.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$30.20
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$29.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$40.74
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$32.36
Typical High
$61.66
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$199.53
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$43.65
Typical High
$51.29
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$54.95
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$33.88
Typical High
$97.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$30.20
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$30.20
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$30.20
Typical High
$67.61

Where Massachusetts 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.

Massachusetts· 20th 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.