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Genetic Test For An Infectious Organism

New Hampshire 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 $135 · 10th–90th $59$2400%10%20%10th90th$135Professionalmedian $42 · 10th–90th $27$950%20%40%10th90th$42$10.0$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
Facility
Modifier
Global
Typical Low
$58.88
Median
$151.36
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$81.28
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$43.65
Typical High
$120.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$123.03