go back

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 October 2026.

How much does Tuberculosis Genetic Test cost?

$21.88

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $43.65 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$21.88$19.05 to $26.92
FacilityA hospital or hospital-owned outpatient department$43.65$26.92 to $95.50

How much rates vary

Facilitymedian $44 · 10th to 90th $22 to $148Professionalmedian $22 · 10th to 90th $13 to $42
$20$100$500$2Kfacility $44professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$22.91
Typical High
$79.43
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.88
Typical High
$22.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.72
Median
$10.96
Typical High
$11.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.27
Median
$4.37
Typical High
$4.57
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$147.91
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$20.89
Typical High
$66.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$43.65
Typical High
$81.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$25.12
Typical High
$41.69
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$35.48
Typical High
$35.48
Geisinger
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Geisinger
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$32.36
Typical High
$58.88
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$91.20
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.88
Typical High
$22.91
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.72
Median
$10.96
Typical High
$11.48
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.27
Median
$4.37
Typical High
$4.57
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$72.44
Typical High
$151.36
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
United
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$26.92
Typical High
$32.36
United
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$16.22
Typical High
$33.88

Where Pennsylvania sits

The same service costs 5.4 times more in Alaska than in Alabama. 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· 36th of 51

$21.88

AK $60.26AL $11.22

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.