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Georgia 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 $19 · 10th–90th $8–$3470%5%10th90th$19Professionalmedian $9 · 10th–90th $6–$210%10%10th90th$9$5.0$20.0$100.0$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
$8.13 / $36.31 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.94 / $16.60
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.32 / $15.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $21.88 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.76 / $22.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.49 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $9.77 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.03 / $15.49