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Genetic Detection Of An Unusual Infection

New Mexico 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?

$36.31

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $95.50 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$29.51$22.39 to $36.31
FacilityA hospital or hospital-owned outpatient department$95.50$44.67 to $178

How much rates vary

Facilitymedian $95 · 10th to 90th $27 to $251Professionalmedian $30 · 10th to 90th $13 to $200
$10$100$1K$10K$100Kfacility $95professional $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
$44.67
Median
$89.13
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$36.31
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$162.18
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$30.90
Typical High
$43.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$34.67
Typical High
$53.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.88
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$26.92
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$27.54

Where New Mexico 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 Mexico· 10th of 51

$36.31

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.