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Genetic Test For An Infectious Organism

Texas 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 July 2026.

Facilitymedian $78 · 10th–90th $32$2000%10%10th90th$78Professionalmedian $32 · 10th–90th $23$600%10%10th90th$32$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$72.44
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$31.62
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$131.83
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$22.91
Typical High
$39.81
Christus
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$95.50
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$32.36
Typical High
$87.10
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$263.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$363.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$93.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$41.69
Typical High
$63.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$41.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$89.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$63.10
Typical High
$138.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$41.69
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$24.55
Typical High
$56.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$41.69
Typical High
$56.23