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Genetic Test For An Infectious Organism

Arizona 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 October 2026.

How much does Genetic Test For An Infectious Organism cost?

$35.48

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $89.13 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$23.99 to $43.65
FacilityA hospital or hospital-owned outpatient department$89.13$44.67 to $123

How much rates vary

Facilitymedian $89 · 10th to 90th $28 to $162Professionalmedian $28 · 10th to 90th $17 to $347
$20$50$100$200facility $89professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$134.90
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$31.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.13
Median
$14.13
Typical High
$15.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.62
Median
$5.62
Typical High
$6.31
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$25.12
Median
$107.15
Typical High
$162.18
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$36.31
Typical High
$63.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$81.28
Typical High
$117.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$38.02
Typical High
$77.62
Medica
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$39.81
Typical High
$74.13
Medica
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$25.12
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$23.99
Typical High
$25.12

Where Arizona sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 39th of 51

$35.48

AK $93.33DE $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.