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Genetic Test For An Infectious Organism

Nationwide rates for HCPCS 87542

A laboratory test that looks in a patient sample for the genetic material of a specific germ. Detecting that material shows the organism is present, and results generally come back faster than growing the organism in a culture would allow.

Rates data updated July 2026.

Facilitymedian $72 · 10th–90th $37$2000%10%10th90th$72Professionalmedian $39 · 10th–90th $25$980%20%10th90th$39$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$75.86
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$36.31
Typical High
$97.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$61.66
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$89.13
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$41.69
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$67.61