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Genetic Detection Of An Unusual Infection

Montana 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?

$37.15

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $44.67 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$37.15$23.99 to $44.67
FacilityA hospital or hospital-owned outpatient department$44.67$37.15 to $58.88

How much rates vary

Facilitymedian $45 · 10th to 90th $30 to $93Professionalmedian $37 · 10th to 90th $23 to $200
$20$50$100$200facility $45professional $37

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
Professional
Modifier
Global
Typical Low
$23.99
Median
$34.67
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$51.29
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$43.65
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$91.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$40.74
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$169.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$28.18

Where Montana 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.

Montana· 9th of 51

$37.15

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.