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Tuberculosis Genetic Test

Utah 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?

$23.44

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $110 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 6 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$19.95 to $23.44
FacilityA hospital or hospital-owned outpatient department$110$30.90 to $110

How much rates vary

Facilitymedian $110 · 10th to 90th $20 to $141Professionalmedian $20 · 10th to 90th $13 to $32
$20$50$100facility $110professional $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
$19.95
Median
$109.65
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$28.18
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$28.18
Typical High
$48.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$109.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$24.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.44
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.02
Typical High
$28.18

Where Utah 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.

Utah· 36th of 51

$23.44

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.