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Tuberculosis Bacteria Gene Detection Test

Virginia 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?

$41.69

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $30.90 from a physician practice, and about $63.10 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 8 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$21.38 to $41.69
FacilityA hospital or hospital-owned outpatient department$63.10$41.69 to $107

How much rates vary

Facilitymedian $63 · 10th to 90th $42 to $195Professionalmedian $31 · 10th to 90th $17 to $98
$10.0$100.0$1.0K$10.0Kfacility $63professional $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
$35.48
Median
$93.33
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$35.48
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$28.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$147.91
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$28.84
Typical High
$74.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$61.66
Medcost
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$61.66
Typical High
$102.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$87.10
Sentara
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$21.88
Typical High
$53.70

Where Virginia 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.

Virginia $41.69 · 30th 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.