go back

Genetic Detection Of An Unusual Infection

Vermont 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?

$34.67

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $155 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 5 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$34.67$19.05 to $34.67
FacilityA hospital or hospital-owned outpatient department$155$50.12 to $339

How much rates vary

Facilitymedian $155 · 10th to 90th $30 to $355Professionalmedian $35 · 10th to 90th $19 to $37
$20$50$100$200facility $155professional $35

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$34.67
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$35.48
Typical High
$67.61
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$34.67
Typical High
$66.07

Where Vermont 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.

Vermont· 13th of 51

$34.67

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.