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Genetic Detection Of An Unusual Infection

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $52.48 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$24.55$18.20 to $26.92
FacilityA hospital or hospital-owned outpatient department$52.48$36.31 to $89.13

How much rates vary

Facilitymedian $52 · 10th to 90th $26 to $132Professionalmedian $25 · 10th to 90th $15 to $52
$10$20$50$100$200facility $52professional $25

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
$25.70
Median
$52.48
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$75.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$45.71
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$23.44
Typical High
$47.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$38.90
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$36.31
Typical High
$66.07
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$52.48
Typical High
$107.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$89.13
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$93.33
Typical High
$165.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$30.20
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$44.67

Where Pennsylvania 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.

Pennsylvania· 38th 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.