go back

Genetic Test For An Infectious Organism

Maine 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 $68 · 10th–90th $42$3890%20%40%10th90th$68Professionalmedian $42 · 10th–90th $25$500%50%10th90th$42$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
$41.69
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.88
Typical High
$41.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$389.05
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$63.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$50.12
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$186.21
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$41.69
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$85.11