The cost of tuberculosis (TB) testing without insurance coverage generally ranges from about **$20 to over $100**, depending on the type of test and where it is performed. The two main types of TB tests are the **Mantoux tuberculin skin test (TST)** and the **interferon-gamma release assay (IGRA) blood test**. The skin test is usually less expensive, often falling between $20 and $60, while the blood test tends to be pricier, sometimes exceeding $100.
Without insurance, many people seek TB testing at **public health clinics, community health centers, or local health departments**, which often provide testing at reduced costs or even free for uninsured individuals. These facilities aim to make TB testing accessible, especially for those who cannot afford private healthcare prices. Pharmacies and walk-in clinics also offer TB testing without insurance, with prices typically ranging from $30 to $80, but this varies by location and provider.
When paying out of pocket, it’s important to be aware of potential **additional fees** beyond the test itself. These can include charges for the doctor’s visit, the follow-up appointment to read the skin test after 48 to 72 hours, or lab processing fees for blood tests. Asking for a full price estimate upfront helps avoid unexpected costs.
Some clinics and providers offer **one-step or two-step TB skin testing**, with two-step testing generally costing about twice as much as one-step testing. For example, prices at certain clinics might be around $50 to $60 for a one-step test and $100 to $120 for a two-step test. Discounts may be available for students or groups.
For those who test positive on the skin test, additional services like chest X-rays are often recommended to rule out active TB disease. These X-rays can add to the overall cost but may be offered at discounted rates in some clinics.
In summary, TB testing without insurance is not necessarily cheaper than with insurance, but there are **affordable and sometimes free options available** through public health programs and community clinics. The cost depends heavily on the test type, location, and any additional services required. Being informed about these factors and exploring local health department resources can help uninsured individuals manage the cost of TB testing effectively.
