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Urine Bacteria Colony Count Culture

New Jersey rates for HCPCS 87086

This lab test grows a urine sample on a culture plate and counts the number of bacterial colonies that develop, which helps determine whether a urinary tract infection is present and how significant it is. Higher colony counts generally indicate a true infection rather than incidental contamination. It's a standard test used to confirm and help guide treatment of suspected urinary tract infections.

Rates data updated July 2026.

How much does Urine Bacteria Colony Count Culture cost?

$9.55

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $30.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.08$6.31 to $8.13
FacilityA hospital or hospital-owned outpatient department$30.20$11.22 to $85.11

How much rates vary

Facilitymedian $30 · 10th to 90th $8 to $162Professionalmedian $7 · 10th to 90th $5 to $10
$10$100$1K$10Kfacility $30professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$30.20
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.08
Typical High
$9.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$5.62
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$104.71
Typical High
$1,621.81
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$18.20
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$8.13
Typical High
$22.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.07
Typical High
$9.12
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.08
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$8.13
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.79
Typical High
$29.51

Where New Jersey sits

The same service costs 11.5 times more in West Virginia than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 36th of 51

$9.55

WV $83.18VT $7.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.