go back

Genetic Test For An Infectious Organism

Massachusetts 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 $40$1660%20%10th90th$102Professionalmedian $42 · 10th–90th $34$1260%50%10th90th$42$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$39.81
Median
$95.50
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$186.21
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$58.88
Typical High
$144.54
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$45.71
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$67.61
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$50.12
Typical High
$109.65
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$416.87
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$60.26
Typical High
$70.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$81.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$58.88
Typical High
$144.54
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$45.71
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$41.69
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$95.50