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Tuberculosis Bacteria Gene Detection Test

Massachusetts 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?

$41.69

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $85.11 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 9 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$41.69$37.15 to $52.48
FacilityA hospital or hospital-owned outpatient department$85.11$57.54 to $123

How much rates vary

Facilitymedian $85 · 10th to 90th $36 to $178Professionalmedian $42 · 10th to 90th $25 to $107
$100.0$1.0K$10.0Kfacility $85professional $42

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
$41.69
Median
$77.62
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$125.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$131.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$60.26
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$47.86
Typical High
$95.50
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$346.74
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$60.26
Typical High
$70.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$75.86
Health New England
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$45.71
Typical High
$50.12
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$48.98
Typical High
$131.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$41.69
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$41.69
Typical High
$93.33

Where Massachusetts 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.

Massachusetts $41.69 · 26th 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.