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Direct Genetic Test For Mycobacteria

Iowa rates for HCPCS 87560

A laboratory test that looks for the genetic material of mycobacteria in a sample to find infection. It detects the organism directly, without growing it in culture first. The test targets one named group of these bacteria.

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $21$790%10%10th90th$43Professionalmedian $26 · 10th–90th $17$1820%10%10th90th$26$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$64.57
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.99
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$66.07
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$48.98
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$35.48
Typical High
$72.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$33.11
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$36.31
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$29.51
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.98
Typical High
$74.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54