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Genetic Test For An Infectious Organism

South Dakota 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?

$58.88

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $47.86 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$37.15 to $85.11
FacilityA hospital or hospital-owned outpatient department$47.86$46.77 to $79.43

How much rates vary

Facilitymedian $48 · 10th to 90th $40 to $79Professionalmedian $59 · 10th to 90th $28 to $100
$20$50$100$200facility $48professional $59

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
$29.51
Median
$29.51
Typical High
$47.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$38.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$79.43
Typical High
$100.00
Medica
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$46.77
Typical High
$75.86
Medica
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$37.15
Typical High
$85.11
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$97.72
Typical High
$114.82
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$29.51
Typical High
$58.88
Wellmark
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69

Where South Dakota 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.

South Dakota· 9th of 51

$58.88

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.