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Tuberculosis Bacteria Gene Detection Test

Vermont 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?

$45.71

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $398 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 5 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$45.71$24.55 to $45.71
FacilityA hospital or hospital-owned outpatient department$398$204 to $457

How much rates vary

Facilitymedian $398 · 10th to 90th $42 to $457Professionalmedian $46 · 10th to 90th $25 to $49
$20.0$50.0$100.0$200.0$500.0facility $398professional $46

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$45.71
Typical High
$45.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$52.48
Typical High
$93.33
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$48.98
Typical High
$95.50

Where Vermont 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.

Vermont $45.71 · 21st 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.