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Tuberculosis Bacteria Gene Detection Test

Kentucky 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 July 2026.

How much does Tuberculosis Bacteria Gene Detection Test cost?

$33.88

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $53.70 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$33.11$17.38 to $41.69
FacilityA hospital or hospital-owned outpatient department$53.70$37.15 to $89.13

How much rates vary

Facilitymedian $54 · 10th to 90th $34 to $200Professionalmedian $33 · 10th to 90th $17 to $66
$20.0$50.0$100.0$200.0facility $54professional $33

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
$33.88
Median
$53.70
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$33.88
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$79.43
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$53.70
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$75.86
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$77.62
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$41.69
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$29.51
Typical High
$48.98

Where Kentucky sits

The same service costs 3.3 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $33.88 · 46th of 51
AK $93.33DE $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.