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Tuberculosis Genetic Test

Kentucky 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?

$21.38

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $26.92 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$21.38$16.22 to $26.92
FacilityA hospital or hospital-owned outpatient department$26.92$21.88 to $43.65

How much rates vary

Facilitymedian $27 · 10th to 90th $21 to $65Professionalmedian $21 · 10th to 90th $16 to $42
$10$20$50$100facility $27professional $21

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
$21.38
Median
$21.88
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$21.88
Typical High
$89.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$26.92
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.22
Typical High
$27.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$38.02
Typical High
$51.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$34.67
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$50.12
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$45.71
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$26.92
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$16.60
Typical High
$28.18

Where Kentucky 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.

Kentucky· 44th of 51

$21.38

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.