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Tuberculosis and Acid-Fast Bacteria Culture

Illinois 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?

$18.62

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $60.26 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$9.33$8.32 to $12.59
FacilityA hospital or hospital-owned outpatient department$60.26$18.20 to $219

How much rates vary

Facilitymedian $60 · 10th to 90th $11 to $288Professionalmedian $9 · 10th to 90th $3 to $22
$5$20$100$500facility $60professional $9

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
$11.22
Median
$69.18
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.72
Typical High
$22.39
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$29.51
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.41
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$24.55
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$12.59
Typical High
$19.50
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$21.38
Typical High
$151.36
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.92
Typical High
$10.72

Where Illinois 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.

Illinois· 16th of 51

$18.62

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.