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Tuberculosis Bacteria Gene Detection Test

Ohio 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?

$38.90

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $58.88 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 9 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$22.91 to $40.74
FacilityA hospital or hospital-owned outpatient department$58.88$41.69 to $91.20

How much rates vary

Facilitymedian $59 · 10th to 90th $35 to $135Professionalmedian $33 · 10th to 90th $17 to $81
$10.0$20.0$50.0$100.0$200.0$500.0facility $59professional $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
$33.88
Median
$75.86
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.88
Typical High
$100.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$43.65
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.39
Typical High
$53.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$58.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$36.31
Typical High
$89.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$169.82
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$34.67
Typical High
$83.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$37.15
Typical High
$45.71
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$41.69
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$57.54

Where Ohio 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.

Ohio $38.90 · 35th 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.