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Genetic Test For An Infectious Organism

Iowa 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 $74 · 10th–90th $32$1200%10%10th90th$74Professionalmedian $41 · 10th–90th $28$2750%10%10th90th$41$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
$32.36
Median
$97.72
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$93.33
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$53.70
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$54.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$34.67
Typical High
$117.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69