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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 July 2026.

Facilitymedian $63 · 10th–90th $42$1320%10%20%10th90th$63Professionalmedian $52 · 10th–90th $25$2750%10%10th90th$52$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
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$60.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$131.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$58.88
Typical High
$131.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$239.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$66.07
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
$23.99
Typical High
$58.88