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Genetic Detection Of An Unusual Infection

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $110 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$23.44$19.95 to $26.30
FacilityA hospital or hospital-owned outpatient department$110$34.67 to $110

How much rates vary

Facilitymedian $110 · 10th to 90th $20 to $141Professionalmedian $23 · 10th to 90th $17 to $33
$20$50$100facility $110professional $23

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
$19.95
Median
$109.65
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$31.62
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$28.84
Typical High
$54.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$123.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$25.70
Typical High
$26.92
Select Health
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$26.30
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$28.18

Where Utah 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.

Utah· 37th 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.