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Genetic Test For An Infectious Organism

New Mexico 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?

$50.12

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $57.54 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$50.12$24.55 to $64.57
FacilityA hospital or hospital-owned outpatient department$57.54$31.62 to $72.44

How much rates vary

Facilitymedian $58 · 10th to 90th $27 to $135Professionalmedian $50 · 10th to 90th $17 to $89
$20$50$100facility $58professional $50

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
$31.62
Median
$134.90
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$64.57
Typical High
$104.71
Molina
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Providence
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$64.57
Typical High
$72.44
Providence
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$64.57
Typical High
$104.71
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
$24.55
Typical High
$25.70

Where New Mexico 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 Mexico· 16th of 51

$50.12

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.