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Genetic Detection Of An Unusual Infection

North Carolina 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 North Carolina, 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 $29.51 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$23.99$23.44 to $30.20
FacilityA hospital or hospital-owned outpatient department$29.51$25.70 to $52.48

How much rates vary

Facilitymedian $30 · 10th to 90th $23 to $95Professionalmedian $24 · 10th to 90th $20 to $45
$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
$22.39
Median
$26.30
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$26.92
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$66.07
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.60
Typical High
$44.67
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$33.11
Typical High
$54.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$33.88
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$36.31
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$223.87

Where North Carolina 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.

North Carolina· 45th 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.