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Genetic Test For An Infectious Organism

Pennsylvania 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?

$33.88

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $70.79 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$33.88$32.36 to $42.66
FacilityA hospital or hospital-owned outpatient department$70.79$41.69 to $214

How much rates vary

Facilitymedian $71 · 10th to 90th $34 to $309Professionalmedian $34 · 10th to 90th $25 to $72
$20$100$500$2Kfacility $71professional $34

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
$33.88
Median
$35.48
Typical High
$123.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.88
Typical High
$35.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.60
Median
$16.98
Typical High
$17.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.61
Median
$6.76
Typical High
$7.08
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$309.03
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$32.36
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$69.18
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$46.77
Typical High
$85.11
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$54.95
Typical High
$54.95
Geisinger
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Geisinger
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$61.66
Typical High
$107.15
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$141.25
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$35.48
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.98
Median
$16.98
Typical High
$17.78
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.76
Median
$6.76
Typical High
$7.08
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$169.82
Typical High
$354.81
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$41.69
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$25.12
Typical High
$61.66

Where Pennsylvania 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.

Pennsylvania· 45th of 51

$33.88

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.