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Genetic Test For An Infectious Organism

Illinois 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?

$33.88

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $93.33 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$32.36$25.12 to $39.81
FacilityA hospital or hospital-owned outpatient department$93.33$56.23 to $141

How much rates vary

Facilitymedian $93 · 10th to 90th $47 to $240Professionalmedian $32 · 10th to 90th $3 to $76
$5$10$20$50$100$200$500facility $93professional $32

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
$33.88
Median
$66.07
Typical High
$125.89
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$16.98
Median
$30.20
Typical High
$63.10
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$6.92
Median
$12.02
Typical High
$25.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$33.88
Typical High
$37.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.98
Median
$16.98
Typical High
$18.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.92
Median
$6.92
Typical High
$7.59
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$91.20
Typical High
$436.52
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$28.84
Typical High
$32.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$97.72
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$57.54
Typical High
$87.10
Hally Health
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$72.44
Typical High
$125.89
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$50.12
Typical High
$52.48
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$26.92
Typical High
$44.67

Where Illinois 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.

Illinois· 43rd of 51

$33.88

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.