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Tuberculosis Genetic Test

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $43.65 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 6 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$26.92$21.88 to $26.92
FacilityA hospital or hospital-owned outpatient department$43.65$26.92 to $120

How much rates vary

Facilitymedian $44 · 10th to 90th $27 to $186Professionalmedian $27 · 10th to 90th $16 to $30
$10$20$50$100$200facility $44professional $27

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
$26.92
Median
$26.92
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$26.92
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$186.21
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$30.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$32.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$120.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$41.69

Where Maine 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.

Maine· 27th 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.