Skin test for tuberculosis
Medicare pricing data for 17,931 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Skin test for tuberculosis (HCPCS code 86580) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.82, but hospitals typically charge $27.76 — a 2.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $9.82, your out-of-pocket cost would be approximately $1.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $6.42 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $12 | $29 | 64 | 104 | +20.1% |
| New Jersey | $11 | $31 | 1,003 | 1,539 | +16.9% |
| New York | $11 | $29 | 1,286 | 2,392 | +16.9% |
| California | $11 | $32 | 834 | 1,766 | +16.9% |
| Maryland | $11 | $29 | 563 | 923 | +14.7% |
| Hawaii | $11 | $25 | 35 | 50 | +14.0% |
| Massachusetts | $11 | $34 | 225 | 306 | +12.7% |
| Connecticut | $11 | $25 | 215 | 287 | +11.9% |
| Alaska | $11 | $53 | 36 | 60 | +10.4% |
| Rhode Island | $10 | $28 | 13 | 14 | +6.4% |
| Illinois | $10 | $30 | 279 | 395 | +4.8% |
| Washington | $10 | $32 | 35 | 45 | +4.6% |
| Colorado | $10 | $23 | 128 | 187 | +4.4% |
| New Hampshire | $10 | $24 | 18 | 24 | +3.6% |
| Delaware | $10 | $22 | 115 | 173 | +3.0% |
| Minnesota | $10 | $29 | 51 | 59 | +2.0% |
| Virginia | $10 | $27 | 1,041 | 1,878 | +1.9% |
| Wyoming | $10 | $21 | 16 | 31 | +1.8% |
| Oregon | $10 | $30 | 15 | 22 | +1.5% |
| South Dakota | $10 | $24 | 9 | 12 | +1.1% |
| Nevada | $10 | $29 | 27 | 33 | +1.0% |
| Pennsylvania | $10 | $27 | 1,566 | 2,530 | +0.8% |
| Vermont | $10 | $21 | 12 | 15 | +0.4% |
| Michigan | $10 | $22 | 550 | 967 | +0.1% |
| Florida | $10 | $21 | 229 | 662 | -1.4% |
| Montana | $10 | $18 | 10 | 32 | -1.4% |
| Arizona | $10 | $24 | 145 | 205 | -2.1% |
| Texas | $10 | $29 | 579 | 904 | -2.3% |
| Maine | $10 | $24 | 16 | 21 | -3.1% |
| Utah | $9 | $17 | 31 | 42 | -3.9% |
| Georgia | $9 | $30 | 1,380 | 2,878 | -4.7% |
| Wisconsin | $9 | $50 | 151 | 196 | -5.8% |
| North Carolina | $9 | $30 | 1,616 | 2,958 | -5.9% |
| Missouri | $9 | $27 | 474 | 945 | -6.1% |
| Ohio | $9 | $29 | 438 | 607 | -6.4% |
| New Mexico | $9 | $26 | 54 | 68 | -7.2% |
| South Carolina | $9 | $26 | 1,221 | 3,091 | -7.5% |
| Idaho | $9 | $23 | 20 | 24 | -7.7% |
| Indiana | $9 | $25 | 629 | 1,015 | -8.4% |
| Louisiana | $9 | $25 | 122 | 164 | -8.5% |
| Kansas | $9 | $27 | 325 | 512 | -8.7% |
| Iowa | $9 | $27 | 164 | 237 | -8.9% |
| Nebraska | $9 | $36 | 80 | 172 | -9.1% |
| Tennessee | $9 | $24 | 647 | 1,090 | -9.9% |
| Oklahoma | $9 | $23 | 60 | 64 | -10.1% |
| Kentucky | $9 | $30 | 443 | 867 | -10.7% |
| Alabama | $9 | $18 | 471 | 830 | -11.9% |
| Mississippi | $8 | $25 | 313 | 663 | -13.5% |
| Arkansas | $8 | $20 | 90 | 128 | -13.8% |
| West Virginia | $8 | $19 | 71 | 143 | -18.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber