Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Georgia
| Provider | Medicare | Services |
|---|---|---|
| Khan, Omar DO | $98.00 | 99 |
| Patel, Jatin MD | $96.87 | 75 |
| Francis, Serene M D | $96.69 | 75 |
| Quest Diagnostics Clinical... | $98.00 | 65 |
| Raj, Naveen D.O | $98.00 | 53 |
| Kim, Taik M.D. | $98.00 | 27 |
| Jawaid, Mehrin DO | $98.00 | 12 |
Georgia Pricing in Context
In Georgia, CPT code 86481 (Tuberculosis Test, Enumeration Of T-Cells) carries an average Medicare payment of $97.56 — 1% above the national benchmark of $96.94. 11 providers across the state submitted claims for this procedure in 2023, performing 417 total services. Individual payments in GA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Georgia is $742.82, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Georgia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Laboratory procedures, the estimated commercial insurance price in Georgia lands near $219.51, with self-pay cash prices typically around $277.45. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Tuberculosis Test, Enumeration Of T-Cells cost in Georgia?
The average Medicare payment for Tuberculosis Test, Enumeration Of T-Cells in Georgia is $97.56, which is 1% above the national average of $96.94. Providers in GA typically bill $742.82 for this procedure.
What does Tuberculosis Test, Enumeration Of T-Cells cost with insurance in Georgia?
With commercial insurance in Georgia, Tuberculosis Test, Enumeration Of T-Cells costs an estimated $219.51. Without insurance, the estimated cash price is $277.45. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Tuberculosis Test, Enumeration Of T-Cells in Georgia?
11 providers in Georgia billed Medicare for Tuberculosis Test, Enumeration Of T-Cells in 2023, performing 417 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Tuberculosis Test, Enumeration Of T-Cells cheaper in Georgia than the national average?
No — Tuberculosis Test, Enumeration Of T-Cells costs 1% above the national average in Georgia. The state average Medicare payment is $97.56 compared to $96.94 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.