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Genetic Test For An Infectious Organism

Kentucky 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 $42 · 10th–90th $34$1000%20%40%10th90th$42Professionalmedian $35 · 10th–90th $30$760%20%40%10th90th$35$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
$33.11
Median
$33.88
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$34.67
Typical High
$57.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$91.20
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$34.67
Typical High
$58.88