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Tuberculosis Bacteria Gene Detection Test

New Mexico 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?

$50.12

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $126 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$38.90$30.90 to $53.70
FacilityA hospital or hospital-owned outpatient department$126$60.26 to $257

How much rates vary

Facilitymedian $126 · 10th to 90th $43 to $398Professionalmedian $39 · 10th to 90th $20 to $275
$100.0$1.0K$10.0K$100.0Kfacility $126professional $39

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
$50.12
Median
$77.62
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$50.12
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$269.15
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.88
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$53.70
Typical High
$75.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$53.70
Typical High
$93.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$42.66
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$48.98

Where New Mexico 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 Mexico $50.12 · 15th 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.