Lab tests CPT 86618 Kentucky Outpatient

Lyme disease test cost in Kentucky

In Kentucky, 78 hospitals publish a cash price for Lyme disease antibody test: from $12.00 to $547.00, with a median of $50.84. The lowest price is at University of Kentucky Hospital (Lexington). The highest price is 45.6× the lowest.

  • The median here, $50.84, is 28% below the US median of $70.40.
  • That is 3.0× Medicare's 2026 national rate for the same service ($17.03).
  • Kentucky ranks 10th of 51 states by median, cheapest first.
  • 5 of 78 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 86618. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map

Lowest$12.00University of Kentucky Hospital
Median$50.84half of hospitals charge less
Highest$547.00in Kentucky
Lowest saves$38.84vs the median

Hospitals in Kentucky, cheapest first

HospitalCash priceList priceFile date
University of Kentucky Hospital lowest Lexington · Lexington-Fayette, KY Hc Borrelia Burgdorferi Igg And Igm Elisa Reflex-So+ $12.00 $30.00 Apr 1, 2026
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Ohio County Hospital Hartford · Hartford, KY BORRELIA BURD VLSE1/PEPC10 AB $24.00 $48.00 Jan 12, 2026
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Arh Our Lady of the Way Martin · Pikeville, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Harlan Arh Hospital Harlan · Harlan, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Hazard Appalachian Regional Healthcare Regional Medical Center Hazard · Hazard, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Highlands Arh Regional Medical Center Prestonsburg · Pikeville, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Knox County Hospital Barbourville · Corbin, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Mary Breckinridge Arh Hospital Hayden · Hayden, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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McDowell Arh Hospital MC Dowell · Pikeville, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Middlesboro Arh Hospital Middlesboro · Middlesborough, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Morgan County Arh Hospital West Liberty · West Liberty, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Paintsville Arh Hospital Paintsville · Paintsville, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Tug Valley Appalachian Regional Healthcare Regional Medical Center South Williamson · Pikeville, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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Whitesburg Arh Hospital Whitesburg · Whitesburg, KY LYME DISEASE TOTAL AB W RFLX $24.60 $41.00 Jan 1, 2026
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T J Samson Community Hospital Glasgow · Glasgow, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $27.95 $43.00 Oct 21, 2026
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Tj Health Columbia Columbia · Columbia, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $27.95 $43.00 Sep 1, 2026
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The Medical Center at Albany Albany · Albany, KY LYME ACUTE REFLEX PANEL $31.20 $52.00 Jul 1, 2024
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The Medical Center at Bowling Green Bowling Green · Bowling Green, KY LYME ACUTE REFLEX PANEL $31.20 $52.00 Apr 1, 2026
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The Medical Center at Caverna Horse Cave · Horse Cave, KY LYME ACUTE REFLEX PANEL $31.20 $52.00 Apr 1, 2026
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The Medical Center at Russellville Russellville · Russellville, KY LYME ACUTE REFLEX PANEL $31.20 $52.00 Apr 1, 2026
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The Medical Center at Scottsville Scottsville · Bowling Green, KY LYME ACUTE REFLEX PANEL $31.20 $52.00 Apr 1, 2026
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University of Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN SO LYME DISEASE ANTIBODY $31.44 $131.00 Jan 1, 2026
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Deaconess Union County Hospital Morganfield · Morganfield, KY HC LYME DIS CHRN RFLX PANL $31.96 $68.00 Feb 13, 2026
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Carroll County Memorial Hospital Carrollton · Carrollton, KY LYME DISEASE IGM $37.20 $62.00 Aug 17, 2026
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Baptist Health Deaconess Madisonville Madisonville · Madisonville, KY HC LYME DISEASE SEROLOGY W RFLX REF $37.50 $288.41 Feb 3, 2026
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Casey County Hospital Liberty · Liberty, KY LYME IGM $37.84 $47.30 Mar 31, 2026
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Norton Audubon Hospital Louisville · Louisville, KY HB LYME DISEASE AB $39.00 $195.00 Feb 11, 2026
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Norton Brownsboro Hospital Louisville · Louisville/Jefferson County, KY-IN HB LYME DISEASE AB $39.00 $195.00 Feb 11, 2026
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Norton Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB LYME DISEASE AB $39.00 $195.00 Feb 11, 2026
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Norton Hospital Louisville · Louisville/Jefferson County, KY-IN HB LYME DISEASE AB $39.00 $195.00 Feb 11, 2026
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Norton West Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN HB LYME DISEASE AB $39.00 $195.00 Feb 11, 2026
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Norton Women's and Kosair Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB LYME DISEASE AB $39.00 $195.00 Feb 13, 2026
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Kentucky River Medical Center Jackson · Jackson, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $39.65 $66.09 Sep 17, 2026
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Rockcastle County Hospital Mount Vernon · Richmond-Berea, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $40.28 $53.00 Jul 1, 2026
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Saint Joseph East Lexington · Lexington-Fayette, KY HC Lab Lyme Disease Ab Total $42.41 $101.00 Sep 30, 2026
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Continuing Care Hospital Lexington · Lexington-Fayette, KY HC LAB LYME DISEASE AB TOTAL $44.79 $101.00 Sep 30, 2026
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Saints Mary & Elizabeth Hospital Louisville · Louisville/Jefferson County, KY-IN SO LYME DISEASE ANTIBODY $47.16 $131.00 Jan 1, 2026
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Saint Joseph Hospital Lexington · Lexington-Fayette, KY HC Lab Lyme Disease Ab Total $47.96 $101.00 Sep 30, 2026
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Harrison Memorial Hospital Cynthiana · Cynthiana, KY ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $50.58 $72.25 Mar 31, 2026
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St Elizabeth Edgewood Edgewood · Cincinnati, OH-KY-IN HB AB BORRELIA BURGDORFERI (LYME DISEASE) $51.09 $51.09 Apr 1, 2026
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UofL Health -Shelbyville Shelbyville · Louisville/Jefferson County, KY-IN LYME DISEASE ANTIBODY $52.06 $137.00 Jan 1, 2026
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Saint Joseph Hospital Nicholasville · Lexington-Fayette, KY HC Lab Lyme Disease Ab Total $54.18 $101.00 Sep 30, 2026
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Jennie Stuart Medical Center Hopkinsville · Clarksville, TN-KY HC LYME DISEASE SEROLOGY W RFLX REF $57.04 $184.00 Feb 12, 2026
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Mercy Health Lourdes Hospital Paducah · Paducah, KY-IL HC So1 Lyme Disease Total Anitbodies $57.60 $96.00 Apr 1, 2026
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Fleming County Hospital Flemingsburg · Flemingsburg, KY Antibody; Borrelia burgdorferi (Lyme disease) $58.01 $145.02 Jul 10, 2026
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Breckinridge Memorial Hospital Hardinsburg · Hardinsburg, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $58.50 $117.00 Jul 16, 2026
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UofL Health-Louisville – South Hospital Shepherdville · Louisville/Jefferson County, KY-IN LYME DISEASE ANTIBODY $60.30 $134.00 Jan 1, 2026
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UofL Health - Jewish Hospital and Mary & Elizabeth Hospital Louisville · Louisville/Jefferson County, KY-IN LYME DISEASE ANTIBODY $63.45 $141.00 Jan 1, 2026
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Marcum and Wallace Memorial Hospital Irvine · Richmond-Berea, KY HC So Lyme Disease Total Anitbodies $64.80 $108.00 Apr 1, 2026
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Wayne County Hospital Monticello · Monticello, KY LYMES AB SCREEN $65.94 $101.45 Sep 14, 2026
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St Claire Medical Center Morehead · Morehead, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $69.00 $92.00 Jun 18, 2026
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Pineville Community Health Center Pineville · Middlesborough, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $72.60 $72.60 Jan 24, 2026
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Saint Joseph Mount Sterling Mt. Sterling · Mount Sterling, KY HC Lab Lyme Disease Ab Total $75.16 $199.00 Sep 30, 2026
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Saint Joseph London London · Corbin, KY HC Lab Lyme Disease Ab Total $76.15 $217.00 Sep 30, 2026
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Monroe County Medical Center Tompkinsville · Tompkinsville, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $81.01 $97.60 Oct 8, 2026
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CHI Saint Joseph Flaget Memorial Hospital Bardstown · Louisville/Jefferson County, KY-IN HC Lab Lyme Disease Ab Total $96.22 $228.00 Sep 30, 2026
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Livingston Hospital and Healthcare Services Salem · Paducah, KY-IL Lyme, Total Ab Test/Reflex LC $99.45 $165.75 Aug 25, 2026
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Bluegrass Community Hospital Versailles · Lexington-Fayette, KY Antibody; Borrelia burgdorferi (Lyme disease) $101.44 $253.59 Jul 10, 2026
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AdventHealth Manchester Manchester · Corbin, KY HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP $113.76 $113.76 Apr 1, 2026
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Clark Regional Medical Center Winchester · Lexington-Fayette, KY Antibody; Borrelia burgdorferi (Lyme disease) $122.49 $306.22 Jul 10, 2026
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CHI Saint Joseph Berea Nf Berea · Richmond-Berea, KY HC Lab Lyme Disease Ab Total $137.11 $283.00 Sep 30, 2026
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Georgetown Community Hospital Georgetown · Lexington-Fayette, KY Antibody; Borrelia burgdorferi (Lyme disease) $168.65 $421.63 Jul 10, 2026
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Three Rivers Medical Center Louisa · Huntington-Ashland, WV-KY-OH Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $194.90 $324.84 Sep 17, 2026
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King's Daughters' Medical Center Ashland · Huntington-Ashland, WV-KY-OH HCHG LYME $204.93 $512.32 Sep 25, 2026
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Baptist Health Corbin Corbin · Corbin, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $214.45 $285.93 Sep 25, 2026
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Baptist Health Hardin Elizabethtown · Elizabethtown, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $214.45 $285.93 Sep 25, 2026
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Baptist Health LaGrange La Grange · Louisville/Jefferson County, KY-IN Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $214.45 $285.93 Sep 25, 2026
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Baptist Health Lexington Lexington · Lexington-Fayette, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $214.45 $285.93 Sep 28, 2026
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Baptist Health Louisville Louisville · Louisville/Jefferson County, KY-IN Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $214.45 $285.93 Sep 25, 2026
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Baptist Health Paducah Paducah · Paducah, KY-IL Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $214.45 $285.93 Sep 28, 2026
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Baptist Health Richmond Richmond · Richmond-Berea, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $214.45 $285.93 Sep 28, 2026
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Murray-Calloway County Public Hospital Murray · Murray, KY Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $224.90 $346.00 Sep 9, 2026
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Jackson Purchase Medical Center Mayfield · Mayfield, KY Antibody; Borrelia burgdorferi (Lyme disease) $238.58 $596.45 Jul 10, 2026
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Meadowview Regional Medical Center Maysville · Maysville, KY Antibody; Borrelia burgdorferi (Lyme disease) $245.99 $614.97 Jul 10, 2026
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Frankfort Regional Medical Center Frankfort · Frankfort, KY LYME DISEASE AB IGM QL $280.81 $280.81 Sep 1, 2026
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Bourbon Community Hospital Paris · Lexington-Fayette, KY Antibody; Borrelia burgdorferi (Lyme disease) $289.00 $722.51 Jul 11, 2026
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Spring View Hospital Lebanon · Lebanon, KY Antibody; Borrelia burgdorferi (Lyme disease) $453.95 $1,134.88 Jul 10, 2026
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Tristar Greenview Regional Hospital Bowling Green · Bowling Green, KY Antibody; Borrelia burgdorferi (Lyme disease) $547.00 $547.00 Sep 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Louisville/Jefferson County, KY-IN 13 $31.44 $47.16
Lexington-Fayette, KY 10 $12.00 $77.81
Corbin, KY 4 $24.60 $94.96
Pikeville, KY 4 $24.60 $24.60
Richmond-Berea, KY 4 $40.28 $100.96
Bowling Green, KY 3 $31.20 $31.20
Paducah, KY-IL 3 $57.60 $99.45
Huntington-Ashland, WV-KY-OH 2 $194.90 $199.92
Middlesborough, KY 2 $24.60 $48.60
Albany, KY 1 $31.20 $31.20
Carrollton, KY 1 $37.20 $37.20
Columbia, KY 1 $27.95 $27.95
Cynthiana, KY 1 $50.58 $50.58
Cincinnati, OH-KY-IN 1 $51.09 $51.09
Clarksville, TN-KY 1 $57.04 $57.04
Elizabethtown, KY 1 $214.45 $214.45
Flemingsburg, KY 1 $58.01 $58.01
Frankfort, KY 1 $280.81 $280.81
Glasgow, KY 1 $27.95 $27.95
Hardinsburg, KY 1 $58.50 $58.50
Harlan, KY 1 $24.60 $24.60
Hartford, KY 1 $24.00 $24.00
Hayden, KY 1 $24.60 $24.60
Hazard, KY 1 $24.60 $24.60
Horse Cave, KY 1 $31.20 $31.20
Jackson, KY 1 $39.65 $39.65
Lebanon, KY 1 $453.95 $453.95
Liberty, KY 1 $37.84 $37.84
Louisville, KY 1 $39.00 $39.00
Maysville, KY 1 $245.99 $245.99
Monticello, KY 1 $65.94 $65.94
Morehead, KY 1 $69.00 $69.00
Morganfield, KY 1 $31.96 $31.96
Madisonville, KY 1 $37.50 $37.50
Mayfield, KY 1 $238.58 $238.58
Mount Sterling, KY 1 $75.16 $75.16
Murray, KY 1 $224.90 $224.90
Paintsville, KY 1 $24.60 $24.60
Russellville, KY 1 $31.20 $31.20
Tompkinsville, KY 1 $81.01 $81.01
West Liberty, KY 1 $24.60 $24.60
Whitesburg, KY 1 $24.60 $24.60
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What Lyme disease test is, what the price covers and why prices differ: Lyme disease test explained.

Lyme disease antibody test in other states

Median cash price across the state's hospitals.