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Mycobacteria DNA Test

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $44.67 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 8 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$16.22$15.49 to $19.05
FacilityA hospital or hospital-owned outpatient department$44.67$24.55 to $58.88

How much rates vary

Facilitymedian $45 · 10th to 90th $17 to $102Professionalmedian $16 · 10th to 90th $12 to $50
$10$20$50$100facility $45professional $16

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
$16.98
Median
$47.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$70.79
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$32.36
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$21.38
Typical High
$44.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$26.30
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$51.29
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$50.12
Typical High
$75.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.60
Typical High
$70.79
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$75.86
Typical High
$151.36
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$19.95
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.88
Typical High
$36.31

Where Pennsylvania 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.

Pennsylvania· 37th 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.