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Genetic Test For An Infectious Organism

New Jersey 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?

$30.90

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $30.90 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $93.33 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$29.51$29.51 to $37.15
FacilityA hospital or hospital-owned outpatient department$93.33$57.54 to $151

How much rates vary

Facilitymedian $93 · 10th to 90th $41 to $209Professionalmedian $30 · 10th to 90th $25 to $56
$20$50$100$200facility $93professional $30

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
Facility
Modifier
None
Typical Low
$32.36
Median
$37.15
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$32.36
Typical High
$37.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.49
Median
$16.22
Typical High
$18.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.17
Median
$6.46
Typical High
$7.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$117.49
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$56.23
Typical High
$117.49
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$54.95
Typical High
$60.26
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$41.69
Typical High
$331.13
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
United
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$25.12
Typical High
$44.67

Where New Jersey 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.

New Jersey· 50th of 51

$30.90

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.