Tuberculosis Bacteria Gene Detection Test

Delaware rates for HCPCS 87556

This laboratory test uses a gene-based amplification technique to detect the bacteria that cause tuberculosis directly in a patient sample, such as sputum coughed up from the lungs. Amplifying the genetic material makes the test more sensitive than older methods, allowing detection even when only a small amount of bacteria is present. It helps confirm a tuberculosis infection more quickly than waiting for a culture to grow.

Rates data updated October 2026.

How much does Tuberculosis Bacteria Gene Detection Test cost?

$28.18

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $75.86 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$27.54	$21.38 to $34.67
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$75.86	$34.67 to $91.20

How much rates vary

Facilitymedian $76 · 10th to 90th $27 to $380Professionalmedian $28 · 10th to 90th $18 to $66

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $91.20	Facility	None	$34.67	$34.67	$91.20
Aetna Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $34.67	Professional	None	$26.92	$34.67	$34.67
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $75.86	Facility	None	$26.92	$26.92	$75.86
Cigna Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $70.79	Professional	None	$21.38	$27.54	$70.79
Highmark BCBS Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19	Facility	None	$380.19	$380.19	$380.19
United Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $63.10	Professional	None	$17.38	$25.12	$63.10

Where Delaware sits

The same service costs 3.3 times more in Alaska than in Florida. 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.

Delaware· 50th of 51

$28.18

AK $93.33FL $28.18

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.