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Genetic Detection Of An Unusual Infection

Tennessee 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?

$24.55

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $24.55 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $45.71 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 6 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$22.39 to $28.84
FacilityA hospital or hospital-owned outpatient department$45.71$25.70 to $95.50

How much rates vary

Facilitymedian $46 · 10th to 90th $22 to $107Professionalmedian $24 · 10th to 90th $15 to $44
$10$20$50$100$200facility $46professional $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
$22.39
Median
$45.71
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$23.99
Typical High
$36.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$27.54
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$67.61
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.38
Typical High
$41.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.98
Typical High
$30.20

Where Tennessee 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.

Tennessee· 41st of 51

$24.55

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.