go back

Genetic Test For An Infectious Organism

Arkansas 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.

Facilitymedian $48 · 10th–90th $30$720%10%20%10th90th$48Professionalmedian $36 · 10th–90th $27$650%10%20%10th90th$36$10.0$20.0$50.0$100.0$200.0

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
$22.39
Median
$38.02
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$36.31
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$54.95
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$48.98
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$20.89
Typical High
$51.29