go back

Genetic Detection Of An Unusual Infection

New Jersey 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?

$25.70

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $57.54 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$23.44$17.78 to $25.70
FacilityA hospital or hospital-owned outpatient department$57.54$38.90 to $141

How much rates vary

Facilitymedian $58 · 10th to 90th $30 to $275Professionalmedian $23 · 10th to 90th $15 to $45
$10$100$1K$10Kfacility $58professional $23

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
$38.02
Median
$44.67
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$23.99
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$66.07
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$48.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$31.62
Typical High
$48.98
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$30.20
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$30.90

Where New Jersey 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.

New Jersey· 36th of 51

$25.70

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.