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Genetic Test For An Infectious Organism

Rhode Island 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?

$43.65

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $32.36 from a physician practice, and about $51.29 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$32.36$26.92 to $54.95
FacilityA hospital or hospital-owned outpatient department$51.29$50.12 to $85.11

How much rates vary

Facilitymedian $51 · 10th to 90th $48 to $148Professionalmedian $32 · 10th to 90th $23 to $71
$20$50$100facility $51professional $32

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
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$51.29
Typical High
$85.11
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$31.62
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$128.82
Typical High
$173.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$63.10
Typical High
$89.13
United
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$28.18
Typical High
$69.18

Where Rhode Island 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.

Rhode Island· 26th of 51

$43.65

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.