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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 October 2026.

How much does Tuberculosis Bacteria Gene Detection Test cost?

$33.11

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $63.10 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.12$17.38 to $41.69
FacilityA hospital or hospital-owned outpatient department$63.10$43.65 to $91.20

How much rates vary

Facilitymedian $63 · 10th to 90th $39 to $141Professionalmedian $25 · 10th to 90th $17 to $85
$20$50$100$200facility $63professional $25

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
$41.69
Median
$112.20
Typical High
$151.36
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$19.50
Median
$45.71
Typical High
$95.50
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$7.94
Median
$18.20
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$38.90
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.60
Median
$16.60
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.61
Median
$6.61
Typical High
$30.20
Ambetter
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$47.86
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$54.95
CareSource
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$56.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$54.95
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$22.39
Typical High
$67.61
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$58.88
Typical High
$169.82
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$22.39
Typical High
$60.26
Molina
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$37.15
Typical High
$51.29
SummaCare
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$51.29
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$37.15
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$25.12
Typical High
$60.26

Where Ohio 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.

Ohio· 44th of 51

$33.11

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.