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Mycobacteria DNA Test

Maine 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?

$19.95

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $32.36 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 6 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$19.95$16.22 to $19.95
FacilityA hospital or hospital-owned outpatient department$32.36$19.95 to $91.20

How much rates vary

Facilitymedian $32 · 10th to 90th $20 to $186Professionalmedian $20 · 10th to 90th $12 to $25
$10$20$50$100$200facility $32professional $20

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
$19.95
Median
$19.95
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.22
Typical High
$19.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$186.21
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.48
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$20.42
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$23.99
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$89.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.95
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$40.74

Where Maine 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.

Maine· 30th of 51

$19.95

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.