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California rates for HCPCS 87116

Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates

Facilitymedian $50 · 10th–90th $13$1950%5%10%10th90th$50Professionalmedian $11 · 10th–90th $7$710%10%20%10th90th$11$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $60.26 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.24 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $25.12 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.71 / $30.20
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $75.86 / $173.78
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $19.05 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.30 / $24.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $17.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.72 / $25.12
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $12.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $32.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.00 / $27.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.96 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.41 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.46 / $22.91