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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 October 2026.

How much does Tuberculosis Bacteria Gene Detection Test cost?

$29.51

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $64.57 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$29.51$26.92 to $33.11
FacilityA hospital or hospital-owned outpatient department$64.57$31.62 to $129

How much rates vary

Facilitymedian $65 · 10th to 90th $27 to $200Professionalmedian $30 · 10th to 90th $24 to $49
$20$50$100$200facility $65professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$31.62
Typical High
$66.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$26.92
Typical High
$37.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$12.88
Median
$13.49
Typical High
$17.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.25
Median
$5.37
Typical High
$7.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$114.82
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$47.86
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$54.95
Typical High
$60.26
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$151.36
Typical High
$331.13
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
United
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$25.12
Typical High
$44.67

Where New Jersey sits

The same service costs 3.3 times more in Alaska than in Florida. 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.

New Jersey· 49th of 51

$29.51

AK $93.33FL $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.