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Tuberculosis Genetic Test

South Dakota 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.

Facilitymedian $51 · 10th–90th $30$510%50%10th$51Professionalmedian $41 · 10th–90th $18$710%10%10th90th$41$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$51.29
Typical High
$64.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$58.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$181.97
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$23.99
Typical High
$35.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92