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Mycobacteria DNA Test

Illinois rates for HCPCS 87550

A laboratory test that looks for mycobacterial genetic material in a sample such as sputum, fluid, or tissue. Mycobacteria are a group of slow-growing bacteria that includes the organism causing tuberculosis along with others that infect the lungs, lymph nodes, and skin. Detecting their DNA gives an answer in a fraction of the time culture takes.

Rates data updated July 2026.

How much does Mycobacteria DNA Test cost?

$19.05

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $33.11 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.60$15.49 to $23.99
FacilityA hospital or hospital-owned outpatient department$33.11$20.89 to $45.71

How much rates vary

Facilitymedian $33 · 10th to 90th $17 to $91Professionalmedian $17 · 10th to 90th $4 to $42
$5$10$20$50$100$200facility $33professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$31.62
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$16.98
Typical High
$40.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$52.48
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$13.80
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$46.77
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$27.54
Typical High
$41.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$40.74
Typical High
$186.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$15.14
Typical High
$28.18

Where Illinois sits

The same service costs 3.0 times more in Alaska than in Maryland. 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.

Illinois· 36th of 51

$19.05

AK $44.67MD $15.14

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.