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Tuberculosis Genetic Test

Iowa rates for HCPCS 87555

Looks for the genetic material of the bacterium that causes tuberculosis in a sample such as coughed-up phlegm, using a matching probe that binds that material directly rather than a step that copies it first. Because the organism grows very slowly in the laboratory, reading its genetic material shortens the wait from weeks to a much shorter turnaround, which matters for starting treatment and limiting spread.

Rates data updated July 2026.

How much does Tuberculosis Genetic Test cost?

$26.92

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $24.55 from a physician practice, and about $41.69 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 7 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$24.55$20.89 to $51.29
FacilityA hospital or hospital-owned outpatient department$41.69$26.92 to $70.79

How much rates vary

Facilitymedian $42 · 10th to 90th $21 to $78Professionalmedian $25 · 10th to 90th $17 to $178
$20$50$100facility $42professional $25

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
$20.89
Median
$63.10
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$23.44
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$64.57
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$48.98
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$34.67
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$32.36
Typical High
$181.97
Midlands
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.98
Typical High
$74.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92

Where Iowa sits

The same service costs 3.3 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.

Iowa· 20th of 51

$26.92

AK $60.26DE $18.20

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.