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Tuberculosis Bacteria Gene Detection Test

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $91.20 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$28.18 to $41.69
FacilityA hospital or hospital-owned outpatient department$91.20$64.57 to $224

How much rates vary

Facilitymedian $91 · 10th to 90th $45 to $479Professionalmedian $33 · 10th to 90th $26 to $68
$10.0$100.0$1.0K$10.0Kfacility $91professional $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
$52.48
Median
$67.61
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.88
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$91.20
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$39.81
Typical High
$85.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$79.43
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$9,549.93
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$41.69
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$51.29

Where New Jersey 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.

New Jersey $41.69 · 27th 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.