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Genetic Detection Of An Unusual Infection

New York 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?

$28.84

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $47.86 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 9 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$14.79 to $35.48
FacilityA hospital or hospital-owned outpatient department$47.86$30.20 to $70.79

How much rates vary

Facilitymedian $48 · 10th to 90th $24 to $91Professionalmedian $24 · 10th to 90th $12 to $58
$10$20$50$100$200facility $48professional $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
$24.55
Median
$50.12
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$60.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$30.20
Typical High
$30.20
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$75.86
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$36.31
Typical High
$128.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$30.20
Typical High
$67.61
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.70
Typical High
$57.54
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.84
Typical High
$53.70
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$56.23
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.20
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$30.20
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$25.12
Typical High
$67.61
Univera
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$34.67
Typical High
$67.61
Univera
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.20
Typical High
$79.43

Where New York 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 York· 31st of 51

$28.84

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.