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Tuberculosis and Acid-Fast Bacteria Culture

Idaho rates for HCPCS 87116

This is a laboratory culture that grows a sample, such as sputum or another body fluid, to look for tuberculosis or related slow-growing bacteria known as acid-fast organisms. Because these organisms grow slowly, results can take days to weeks, and the lab both identifies whether the bacteria are present and provides a preliminary identification of the type.

Rates data updated July 2026.

How much does Tuberculosis and Acid-Fast Bacteria Culture cost?

$19.05

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $12.30 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$12.30$10.23 to $20.89
FacilityA hospital or hospital-owned outpatient department$30.20$16.60 to $43.65

How much rates vary

Facilitymedian $30 · 10th to 90th $11 to $58Professionalmedian $12 · 10th to 90th $8 to $25
$5$10$20$50$100$200$500facility $30professional $12

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
$25.12
Median
$38.90
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.30
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$36.31
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$22.39
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.13
Typical High
$15.49
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$14.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$21.88
Typical High
$38.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.12
Typical High
$11.22
Select Health
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$42.66
Select Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.46
Typical High
$17.78

Where Idaho sits

The same service costs 14.5 times more in West Virginia than in Rhode Island. 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.

Idaho· 14th of 51

$19.05

WV $117RI $8.13

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.