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Tuberculosis Genetic Test

New Mexico 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?

$32.36

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $40.74 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 4 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$30.90$19.95 to $35.48
FacilityA hospital or hospital-owned outpatient department$40.74$24.55 to $81.28

How much rates vary

Facilitymedian $41 · 10th to 90th $18 to $87Professionalmedian $31 · 10th to 90th $12 to $178
$10$20$50$100facility $41professional $31

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
Facility
Modifier
Global
Typical Low
$40.74
Median
$81.28
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$32.36
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$30.90
Typical High
$43.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$33.88
Typical High
$52.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.11
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$24.55
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.75
Typical High
$27.54

Where New Mexico 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.

New Mexico· 12th of 51

$32.36

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.