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Genetic Test For An Infectious Organism

Tennessee 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?

$46.77

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $29.51 to $234.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $85 · 10th to 90th $33 to $158Professionalmedian $42 · 10th to 90th $21 to $363
$20$50$100$200facility $85professional $42

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
$31.62
Median
$33.11
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$33.11
Typical High
$42.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$15.49
Median
$16.60
Typical High
$23.99
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.31
Median
$6.61
Typical High
$9.55
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$41.69
Typical High
$57.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$85.11
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$28.18
Typical High
$95.50
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$28.84
Typical High
$58.88

Where Tennessee 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.

Tennessee· 21st of 51

$46.77

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.