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Genetic Test For Mycobacteria Infection

Vermont rates for HCPCS 87551

A laboratory test that looks for the genetic material of mycobacteria, the group of bacteria that includes the organism causing tuberculosis and several related lung and skin infections. The genetic material in the sample is copied many times over so that even small amounts can be detected. It gives an answer far sooner than growing the organism in culture, which can take weeks.

Rates data updated July 2026.

How much does Genetic Test For Mycobacteria Infection cost?

$45.71

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $204 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$45.71$24.55 to $45.71
FacilityA hospital or hospital-owned outpatient department$204$81.28 to $447

How much rates vary

Facilitymedian $204 · 10th to 90th $48 to $468Professionalmedian $46 · 10th to 90th $25 to $51
$20$50$100$200$500facility $204professional $46

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$45.71
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$58.88
Typical High
$109.65
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$51.29
Typical High
$107.15

Where Vermont sits

The same service costs 3.4 times more in Alaska than in Delaware. 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.

Vermont· 31st of 51

$45.71

AK $110DE $32.36

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.