Detection by nucleic acid for borrelia burgdorferi (bacteria), amplified probe technique
Medicare pricing data for 103 providers across 19 states
This procedure has a 11.4x markup — hospitals charge $392.28 but Medicare allows only $34.34. Uninsured patients may face bills 11.4 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Detection by nucleic acid for borrelia burgdorferi (bacteria), amplified probe technique (HCPCS code 87476) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.34, but hospitals typically charge $392.28 — a 11.4x 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 $34.34, your out-of-pocket cost would be approximately $6.87. 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 11.4x more than what Medicare allows for this procedure. Medicare actually pays $34.34 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $34 | $533 | 3 | 49 | +0.1% |
| Kansas | $34 | $583 | 4 | 19 | +0.1% |
| Massachusetts | $34 | $346 | 8 | 47 | +0.1% |
| Minnesota | $34 | $196 | 6 | 52 | +0.1% |
| New Mexico | $34 | $143 | 1 | 11 | +0.1% |
| New York | $34 | $244 | 8 | 399 | +0.1% |
| Pennsylvania | $34 | $263 | 3 | 66 | +0.1% |
| Tennessee | $34 | $97 | 2 | 42 | +0.1% |
| Texas | $34 | $308 | 6 | 77 | +0.1% |
| Utah | $34 | $70 | 1 | 27 | +0.1% |
| Washington | $34 | $489 | 2 | 17 | +0.1% |
| Wisconsin | $34 | $380 | 2 | 20 | +0.1% |
| Alabama | $34 | $613 | 1 | 43 | +0.1% |
| Arizona | $34 | $562 | 2 | 17 | +0.1% |
| Connecticut | $34 | $265 | 1 | 17 | +0.1% |
| California | $34 | $147 | 6 | 1,367 | +0.1% |
| New Jersey | $34 | $438 | 9 | 2,037 | +0.1% |
| North Carolina | $34 | $598 | 4 | 1,600 | +0.0% |
| Ohio | $34 | $476 | 4 | 164 | -1.0% |
⚠️ 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