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Genetic Test For An Infectious Organism

Ohio 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?

$33.11

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $53.70 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.92$20.42 to $45.71
FacilityA hospital or hospital-owned outpatient department$53.70$43.65 to $77.62

How much rates vary

Facilitymedian $54 · 10th to 90th $38 to $132Professionalmedian $27 · 10th to 90th $20 to $76
$20$50$100$200facility $54professional $27

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
$39.81
Median
$91.20
Typical High
$151.36
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$19.50
Median
$45.71
Typical High
$75.86
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$7.94
Median
$18.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.60
Median
$16.60
Typical High
$69.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.61
Median
$6.61
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$48.98
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$56.23
CareSource
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$50.12
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$26.30
Typical High
$79.43
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$52.48
Typical High
$169.82
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$26.30
Typical High
$72.44
Molina
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$37.15
Typical High
$51.29
SummaCare
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$51.29
Typical High
$95.50
United
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$37.15
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$25.12
Typical High
$60.26

Where Ohio 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.

Ohio· 48th of 51

$33.11

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.