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Kansas 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 $30 · 10th–90th $11–$1350%5%10%10th90th$30Professionalmedian $10 · 10th–90th $8–$180%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
$12.59 / $25.70 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $17.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $45.71 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $17.78 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $12.30 / $36.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $29.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.94 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $10.72 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.46 / $17.38