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Genetic Test For An Infectious Organism

Wisconsin 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 $115 · 10th–90th $46$2630%20%10th90th$115Professionalmedian $50 · 10th–90th $20$1780%10%10th90th$50$10.0$20.0$50.0$100.0$200.0$500.0

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
$50.12
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$100.00
Typical High
$131.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$229.09
Typical High
$331.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$64.57
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$120.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$117.49
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$70.79
Typical High
$125.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$177.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$263.03
Typical High
$263.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$234.42
Typical High
$363.08
Security Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$89.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$141.25
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$37.15
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$33.11
Typical High
$85.11