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Washington, DC 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 $72 · 10th–90th $19$3240%10%10th90th$72Professionalmedian $10 · 10th–90th $7$400%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$19.05 / $72.44 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $39.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $30.20 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $12.30 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $6.46 / $10.47