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Genetic Test For An Infectious Organism

Colorado 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 $102 · 10th–90th $32$2090%10%10th90th$102Professionalmedian $32 · 10th–90th $25$630%20%40%10th90th$32$20.0$50.0$100.0$200.0$500.0$1.0K$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
$26.30
Median
$91.20
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$31.62
Typical High
$72.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$123.03
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$41.69
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$77.62
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$51.29
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$131.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$87.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$23.99
Typical High
$30.90