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Tuberculosis Genetic Test

Virginia 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?

$26.92

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $34.67 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$19.95$12.88 to $26.92
FacilityA hospital or hospital-owned outpatient department$34.67$26.92 to $60.26

How much rates vary

Facilitymedian $35 · 10th to 90th $27 to $117Professionalmedian $20 · 10th to 90th $11 to $63
$10$100$1K$10Kfacility $35professional $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
$22.91
Median
$52.48
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$66.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$18.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$83.18
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$52.48
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$39.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$36.31
Typical High
$61.66
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$56.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.88
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.13
Typical High
$32.36

Where Virginia 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.

Virginia· 25th of 51

$26.92

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.