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Genetic Detection Of An Unusual Infection

Virginia 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?

$30.20

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $35.48 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 8 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$22.39$14.13 to $28.84
FacilityA hospital or hospital-owned outpatient department$35.48$30.20 to $69.18

How much rates vary

Facilitymedian $35 · 10th to 90th $27 to $126Professionalmedian $22 · 10th to 90th $12 to $71
$10$100$1K$10Kfacility $35professional $22

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
$66.07
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$25.70
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$19.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$83.18
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$58.88
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$35.48
Typical High
$42.66
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$37.15
Typical High
$57.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$63.10
Sentara
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$30.20
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$15.49
Typical High
$32.36

Where Virginia 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.

Virginia· 25th of 51

$30.20

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.