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Tuberculosis Bacteria Gene Detection Test

Indiana 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.

Facilitymedian $42 · 10th–90th $42$1260%20%40%90th$42Professionalmedian $34 · 10th–90th $17$710%20%10th90th$34$10.0$20.0$50.0$100.0$200.0$500.0

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
$41.69
Median
$64.57
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$81.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$17.38
Typical High
$41.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$58.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$38.02
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$50.12