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Tuberculosis Bacteria Gene Detection Test

Rhode Island 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?

$36.31

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $105 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 4 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$30.90$24.55 to $36.31
FacilityA hospital or hospital-owned outpatient department$105$51.29 to $224

How much rates vary

Facilitymedian $105 · 10th to 90th $48 to $229Professionalmedian $31 · 10th to 90th $25 to $55
$20$50$100$200facility $105professional $31

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
$57.54
Median
$141.25
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$47.86
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$27.54
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$41.69
Typical High
$69.18

Where Rhode Island sits

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

Rhode Island· 37th of 51

$36.31

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.