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Tuberculosis Bacteria Gene Detection Test

Montana 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?

$56.23

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $63.10 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$52.48$41.69 to $81.28
FacilityA hospital or hospital-owned outpatient department$63.10$52.48 to $126

How much rates vary

Facilitymedian $63 · 10th to 90th $50 to $240Professionalmedian $52 · 10th to 90th $25 to $275
$100.0$1.0K$10.0K$100.0Kfacility $63professional $52

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
$190.55
Median
$190.55
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$47.86
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$60.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$125.89
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$125.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$81.28
Typical High
$239.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$66.07
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
$19.95
Typical High
$48.98

Where Montana 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.

Montana $56.23 · 9th 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.