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Enzyme-linked immunosorbent assay (ELISA) test. The test used most often to detect Lyme disease, ELISA detects antibodies to B. burgdorferi. But because it can sometimes provide false-positive results, it's not used as the sole basis for diagnosis.How accurate are Lyme disease tests?
In the first three weeks after infection, the test only detects Lyme 29 to 40 percent of the time. (The test is 87 percent accurate once Lyme spreads to the neurological system, and 97 percent accurate for patients who develop Lyme arthritis).How much does a Lyme disease test cost?
In some cases, there’s a whole range of diseases, like Multiple sclerosis, that it might mimic and then you have to have a neurologists and a specialists, so it can add up when you look at not just Lyme but other kinds of illnesses. It can cost anywhere from $250 to $400 for an ELISA and a western blot; sometimes it’s even more.