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Genetic Detection Of An Unusual Infection

Maine 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 Maine, 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 $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 6 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$23.99 to $30.20
FacilityA hospital or hospital-owned outpatient department$48.98$30.20 to $135

How much rates vary

Facilitymedian $49 · 10th to 90th $30 to $186Professionalmedian $30 · 10th to 90th $18 to $36
$20$50$100$200facility $49professional $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
$30.20
Median
$30.20
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$30.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$186.21
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.38
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$28.18
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$36.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$134.90
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$24.55
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$30.20
Typical High
$45.71

Where Maine 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.

Maine· 21st 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.