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Genetic Test For An Infectious Organism

California 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 $120 · 10th–90th $50$4570%5%10%10th90th$120Professionalmedian $44 · 10th–90th $31$2750%10%10th90th$44$20.0$100.0$500.0$2.0K

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
$72.44
Median
$177.83
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$43.65
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$107.15
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$112.20
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$251.19
Typical High
$588.84
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$48.98
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$75.86
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$35.48
Typical High
$138.04
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$56.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$45.71
Typical High
$81.28
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$263.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$123.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$45.71
Typical High
$117.49
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$46.77
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$41.69
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$93.33