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Genetic Detection Of An Unusual Infection

West 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?

$24.55

Typical negotiated rate. In West Virginia, 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 $44.67 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$23.99$22.39 to $25.70
FacilityA hospital or hospital-owned outpatient department$44.67$24.55 to $60.26

How much rates vary

Facilitymedian $45 · 10th to 90th $25 to $79Professionalmedian $24 · 10th to 90th $20 to $26
$20$50$100facility $45professional $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
$24.55
Median
$44.67
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$25.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$144.54
Typical High
$144.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$33.11

Where West 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.

West Virginia· 40th 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.