go back

Mycobacteria Genetic Test, Amount Measured

Utah rates for HCPCS 87552

A laboratory test that looks for the genetic material of mycobacteria, the slow-growing family of bacteria behind long-running lung infections and infections of lymph nodes, skin and other tissue, in a sample such as coughed-up phlegm, fluid or tissue. Beyond reporting whether the organisms are there, this version measures how much of their genetic material is present. Reading the genetic material gives an answer far sooner than growing these organisms, which can take weeks.

Facilitymedian $174 · 10th–90th $49$3800%20%10th90th$174Professionalmedian $40 · 10th–90th $30$650%10%10th90th$40$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$295.12
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$39.81
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$51.29
Typical High
$87.10
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$194.98
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.90
Typical High
$74.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$56.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$38.02
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.70
Typical High
$60.26