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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 July 2026.

Facilitymedian $63 · 10th–90th $28$1350%20%10th90th$63Professionalmedian $50 · 10th–90th $25$2750%10%20%10th90th$50$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$125.89
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$50.12
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$64.57
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$60.26
Typical High
$109.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$60.26
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$46.77
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$24.55
Typical High
$53.70