Analysis for antibody borrelia burgdorferi (lyme disease bacteria)
Medicare pricing data for 3,095 providers across 45 states
This procedure has a 8.1x markup — hospitals charge $134.18 but Medicare allows only $16.66. Uninsured patients may face bills 8.1 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
Analysis for antibody borrelia burgdorferi (lyme disease bacteria) (HCPCS code 86618) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.66, but hospitals typically charge $134.18 — a 8.1x 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 $16.66, your out-of-pocket cost would be approximately $3.33. 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 8.1x more than what Medicare allows for this procedure. Medicare actually pays $16.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $17 | $31 | 9 | 46 | +0.2% |
| Florida | $17 | $182 | 27 | 5,335 | +0.2% |
| Georgia | $17 | $183 | 7 | 2,368 | +0.2% |
| Hawaii | $17 | $91 | 2 | 52 | +0.2% |
| Missouri | $17 | $102 | 9 | 11 | +0.2% |
| Nebraska | $17 | $52 | 2 | 30 | +0.2% |
| New Mexico | $17 | $89 | 1 | 41 | +0.2% |
| Oregon | $17 | $73 | 4 | 93 | +0.2% |
| Rhode Island | $17 | $37 | 5 | 822 | +0.2% |
| South Dakota | $17 | $80 | 6 | 146 | +0.2% |
| Utah | $17 | $47 | 3 | 28 | +0.2% |
| Vermont | $17 | $58 | 12 | 103 | +0.2% |
| Washington | $17 | $154 | 10 | 231 | +0.2% |
| Arizona | $17 | $136 | 5 | 482 | +0.2% |
| Arkansas | $17 | $61 | 7 | 22 | +0.2% |
| Colorado | $17 | $143 | 4 | 180 | +0.2% |
| Kansas | $17 | $177 | 7 | 1,757 | +0.1% |
| Massachusetts | $17 | $171 | 448 | 14,996 | +0.1% |
| Maryland | $17 | $141 | 85 | 5,398 | +0.1% |
| New Jersey | $17 | $147 | 284 | 55,284 | +0.1% |
| New York | $17 | $89 | 810 | 31,502 | +0.1% |
| North Carolina | $17 | $141 | 17 | 15,336 | +0.1% |
| Tennessee | $17 | $146 | 19 | 820 | +0.1% |
| Texas | $17 | $172 | 16 | 2,418 | +0.1% |
| Illinois | $17 | $184 | 16 | 1,350 | 0.0% |
| Pennsylvania | $17 | $118 | 50 | 7,310 | 0.0% |
| New Hampshire | $17 | $56 | 89 | 318 | -0.1% |
| Ohio | $17 | $127 | 81 | 3,308 | -0.1% |
| Oklahoma | $17 | $141 | 10 | 665 | -0.1% |
| California | $17 | $159 | 35 | 6,758 | -0.1% |
| Kentucky | $17 | $56 | 6 | 282 | -0.1% |
| Alabama | $17 | $137 | 12 | 1,113 | -0.2% |
| Connecticut | $17 | $46 | 129 | 578 | -0.2% |
| Nevada | $17 | $181 | 3 | 159 | -0.3% |
| Virginia | $17 | $57 | 56 | 1,839 | -0.4% |
| Minnesota | $17 | $95 | 520 | 2,209 | -0.5% |
| Maine | $17 | $42 | 126 | 933 | -0.5% |
| Indiana | $17 | $43 | 5 | 228 | -0.7% |
| Mississippi | $17 | $117 | 8 | 69 | -0.7% |
| Iowa | $17 | $61 | 10 | 527 | -0.9% |
| Wisconsin | $16 | $115 | 87 | 2,060 | -1.0% |
| South Carolina | $16 | $42 | 7 | 101 | -1.1% |
| Michigan | $16 | $46 | 12 | 202 | -1.6% |
| West Virginia | $16 | $112 | 14 | 35 | -2.7% |
| North Dakota | $16 | $61 | 5 | 24 | -6.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber