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Illinois 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 $54 · 10th–90th $13–$5010%5%10th90th$54Professionalmedian $9 · 10th–90th $5–$280%10%20%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
$13.49 / $56.23 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $29.51 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $7.41 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $24.55 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $12.59 / $19.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $21.38 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $10.72 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.92 / $10.72