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Tuberculosis Bacteria Gene Detection Test

Utah 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 Utah, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $186 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 6 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$34.67$34.67 to $36.31
FacilityA hospital or hospital-owned outpatient department$186$47.86 to $245

How much rates vary

Facilitymedian $186 · 10th to 90th $35 to $245Professionalmedian $35 · 10th to 90th $22 to $55
$20.0$50.0$100.0$200.0facility $186professional $35

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
$34.67
Median
$186.21
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$42.66
Typical High
$75.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$169.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$42.66
Select Health
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$36.31
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$48.98

Where Utah 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.

Utah $36.31 · 40th 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.