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Genetic Test For An Infectious Organism

Montana 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?

$60.26

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $70.79 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$56.23$25.12 to $60.26
FacilityA hospital or hospital-owned outpatient department$70.79$63.10 to $81.28

How much rates vary

Facilitymedian $71 · 10th to 90th $60 to $98Professionalmedian $56 · 10th to 90th $17 to $76
$20$50$100$200facility $71professional $56

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
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$63.10
Typical High
$239.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$70.79
Typical High
$97.72
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$70.79
Typical High
$75.86
Providence
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$63.10
Typical High
$239.88
Providence
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$41.69

Where Montana 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.

Montana· 8th of 51

$60.26

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.