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Tuberculosis Bacteria Gene Detection Test

West 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?

$33.88

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $33.88 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $141 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$33.11$30.90 to $35.48
FacilityA hospital or hospital-owned outpatient department$141$52.48 to $155

How much rates vary

Facilitymedian $141 · 10th to 90th $34 to $155Professionalmedian $33 · 10th to 90th $28 to $35
$20.0$50.0$100.0$200.0facility $141professional $33

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
$33.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$35.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$75.86
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$234.42
Typical High
$234.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$141.25
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$21.38
Typical High
$48.98

Where West 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.

West Virginia $33.88 · 48th 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.