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Mycobacteria DNA Test

North Carolina 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?

$18.20

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $24.55 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$18.20$16.22 to $24.55
FacilityA hospital or hospital-owned outpatient department$24.55$17.78 to $43.65

How much rates vary

Facilitymedian $25 · 10th to 90th $16 to $66Professionalmedian $18 · 10th to 90th $14 to $32
$10$20$50$100facility $25professional $18

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
$16.22
Median
$19.05
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.22
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$45.71
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$24.55
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$43.65
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.79
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$28.18
Typical High
$50.12
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$26.30
Typical High
$38.02
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.13
Typical High
$28.84
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$151.36
Typical High
$151.36
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$173.78

Where North Carolina 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.

North Carolina· 40th of 51

$18.20

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.