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Direct Genetic Test For Mycobacteria

Wisconsin 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 $74 · 10th–90th $30$1290%20%10th90th$74Professionalmedian $33 · 10th–90th $11$950%10%10th90th$33$10.0$20.0$50.0$100.0$200.0

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
$33.11
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.11
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$52.48
Typical High
$85.11
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$109.65
Typical High
$158.49
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$37.15
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.98
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$33.11
Typical High
$57.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$40.74
Typical High
$77.62
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$43.65
Typical High
$81.28
Quartz
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$93.33
Quartz
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$151.36
Typical High
$151.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$134.90
Typical High
$173.78
Security Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$57.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$72.44
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$21.88
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$44.67