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Genetic Test For An Infectious Organism

West Virginia 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 $52 · 10th–90th $34$630%20%10th90th$52Professionalmedian $33 · 10th–90th $28$400%20%40%10th90th$33$20.0$50.0$100.0$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
$33.88
Median
$52.48
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$39.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$61.66
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$57.54