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Genetic Detection Of An Unusual Infection

Rhode Island 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?

$22.39

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $60.26 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 4 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$20.89$19.05 to $22.39
FacilityA hospital or hospital-owned outpatient department$60.26$35.48 to $129

How much rates vary

Facilitymedian $60 · 10th to 90th $33 to $132Professionalmedian $21 · 10th to 90th $17 to $30
$20$50$100facility $60professional $21

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
$33.11
Median
$81.28
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$26.92
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$39.81

Where Rhode Island 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.

Rhode Island· 48th of 51

$22.39

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.