go back

Genetic Test For An Infectious Organism

Indiana 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.

Facilitymedian $42 · 10th–90th $42$1260%20%40%90th$42Professionalmedian $34 · 10th–90th $19$500%20%40%10th90th$34$10.0$20.0$50.0$100.0$200.0$500.0

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
$41.69
Median
$64.57
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$33.88
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.42
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$38.90
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$27.54
Typical High
$51.29