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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 July 2026.

Facilitymedian $95 · 10th–90th $48$5750%20%10th90th$95Professionalmedian $35 · 10th–90th $28$810%20%40%10th90th$35$20.0$100.0$500.0$2.0K$10.0K

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
$53.70
Median
$95.50
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$35.48
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$41.69
Typical High
$100.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$67.61
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$41.69
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$60.26