Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria)
Medicare pricing data for 492 providers across 37 states
This procedure has a 7.4x markup — hospitals charge $112.34 but Medicare allows only $15.16. Uninsured patients may face bills 7.4 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria) (HCPCS code 86617) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.16, but hospitals typically charge $112.34 — a 7.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $15.16, your out-of-pocket cost would be approximately $3.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 7.4x more than what Medicare allows for this procedure. Medicare actually pays $15.16 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $15 | $114 | 3 | 1,537 | +0.1% |
| Hawaii | $15 | $66 | 2 | 32 | +0.1% |
| Illinois | $15 | $116 | 6 | 1,664 | +0.1% |
| Indiana | $15 | $59 | 1 | 109 | +0.1% |
| Iowa | $15 | $43 | 5 | 98 | +0.1% |
| Kansas | $15 | $116 | 4 | 624 | +0.1% |
| Louisiana | $15 | $39 | 2 | 30 | +0.1% |
| Massachusetts | $15 | $115 | 30 | 7,679 | +0.1% |
| Michigan | $15 | $38 | 5 | 24 | +0.1% |
| New Hampshire | $15 | $59 | 27 | 123 | +0.1% |
| Oklahoma | $15 | $118 | 4 | 237 | +0.1% |
| Oregon | $15 | $45 | 3 | 146 | +0.1% |
| Rhode Island | $15 | $36 | 1 | 240 | +0.1% |
| South Dakota | $15 | $98 | 3 | 44 | +0.1% |
| Tennessee | $15 | $108 | 3 | 344 | +0.1% |
| Utah | $15 | $34 | 2 | 180 | +0.1% |
| Washington | $15 | $98 | 4 | 151 | +0.1% |
| Alabama | $15 | $89 | 5 | 528 | +0.1% |
| Colorado | $15 | $94 | 5 | 103 | +0.1% |
| Florida | $15 | $112 | 10 | 4,641 | +0.1% |
| Maryland | $15 | $109 | 5 | 2,600 | +0.1% |
| New Jersey | $15 | $115 | 22 | 72,958 | +0.1% |
| Pennsylvania | $15 | $101 | 10 | 3,255 | +0.1% |
| Texas | $15 | $97 | 14 | 1,604 | +0.1% |
| New York | $15 | $151 | 124 | 10,949 | 0.0% |
| Ohio | $15 | $93 | 11 | 895 | 0.0% |
| North Carolina | $15 | $91 | 10 | 16,688 | -0.1% |
| California | $15 | $108 | 17 | 3,196 | -0.1% |
| Arizona | $15 | $109 | 4 | 716 | -0.1% |
| Maine | $15 | $58 | 8 | 151 | -0.2% |
| Minnesota | $15 | $130 | 63 | 566 | -0.2% |
| Connecticut | $15 | $68 | 34 | 106 | -0.5% |
| Wisconsin | $15 | $113 | 16 | 420 | -0.6% |
| Kentucky | $15 | $55 | 3 | 234 | -0.7% |
| Virginia | $15 | $56 | 6 | 881 | -0.7% |
| Nevada | $15 | $112 | 2 | 75 | -1.8% |
| South Carolina | $14 | $41 | 4 | 23 | -8.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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