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Tuberculosis Bacteria Gene Detection Test

Maine 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 Maine, 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 $67.61 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 6 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$33.88 to $41.69
FacilityA hospital or hospital-owned outpatient department$67.61$41.69 to $191

How much rates vary

Facilitymedian $68 · 10th to 90th $42 to $245Professionalmedian $42 · 10th to 90th $25 to $49
$20$50$100$200facility $68professional $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
$67.61
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.88
Typical High
$41.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$245.47
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$42.66
Typical High
$52.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$50.12
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$190.55
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$41.69
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$41.69
Typical High
$66.07

Where Maine 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.

Maine· 32nd of 51

$41.69

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.