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Tuberculosis Genetic Test

Vermont 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?

$34.67

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $155 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 5 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$34.67$19.05 to $34.67
FacilityA hospital or hospital-owned outpatient department$155$44.67 to $339

How much rates vary

Facilitymedian $155 · 10th to 90th $27 to $355Professionalmedian $35 · 10th to 90th $19 to $35
$20$50$100$200facility $155professional $35

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$34.67
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$33.11
Typical High
$60.26
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$30.90
Typical High
$58.88

Where Vermont 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.

Vermont· 9th of 51

$34.67

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.