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Genetic Test For An Infectious Organism

North Dakota 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?

$63.10

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $41.69 to $70.79.

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.

How much rates vary

Facilitymedian $30 · 10th to 90th $30 to $50Professionalmedian $63 · 10th to 90th $30 to $83
$20$50$100facility $30professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$38.90
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$70.79
Typical High
$83.18
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$57.54
Median
$85.11
Typical High
$100.00
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.55
Median
$14.13
Typical High
$16.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$74.13
Medica
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$87.10
Medica
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$60.26
Typical High
$70.79
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$53.70
Typical High
$70.79

Where North Dakota 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.

North Dakota· 5th of 51

$63.10

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.