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Tuberculosis Genetic Test

Pennsylvania 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?

$22.91

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $52.48 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 8 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$21.88$17.78 to $25.12
FacilityA hospital or hospital-owned outpatient department$52.48$32.36 to $79.43

How much rates vary

Facilitymedian $52 · 10th to 90th $23 to $117Professionalmedian $22 · 10th to 90th $15 to $59
$10$20$50$100facility $52professional $22

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
$22.91
Median
$52.48
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.88
Typical High
$95.50
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$41.69
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$23.44
Typical High
$47.86
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$35.48
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$32.36
Typical High
$58.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$52.48
Typical High
$95.50
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.88
Typical High
$95.50
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$27.54
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$40.74

Where Pennsylvania 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.

Pennsylvania· 38th of 51

$22.91

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.