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Tuberculosis Genetic Test

Rhode Island 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?

$20.89

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $60.26 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$19.95$19.05 to $20.89
FacilityA hospital or hospital-owned outpatient department$60.26$33.11 to $129

How much rates vary

Facilitymedian $60 · 10th to 90th $31 to $132Professionalmedian $20 · 10th to 90th $17 to $32
$20$50$100facility $60professional $20

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
$33.11
Median
$81.28
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$26.92
Typical High
$39.81

Where Rhode Island 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.

Rhode Island· 47th of 51

$20.89

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.