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Tuberculosis Bacteria Gene Detection Test

Pennsylvania 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?

$35.48

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $33.88 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 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$33.88$30.90 to $38.90
FacilityA hospital or hospital-owned outpatient department$91.20$48.98 to $123

How much rates vary

Facilitymedian $91 · 10th to 90th $35 to $204Professionalmedian $34 · 10th to 90th $25 to $93
$100.0$1.0K$10.0Kfacility $91professional $34

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
$35.48
Median
$91.20
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.88
Typical High
$147.91
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$67.61
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$39.81
Typical High
$85.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$54.95
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$54.95
Typical High
$93.33
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$117.49
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$91.20
Typical High
$165.96
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.88
Typical High
$147.91
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$331.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$63.10

Where Pennsylvania 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.

Pennsylvania $35.48 · 43rd 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.