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Tuberculosis and Acid-Fast Bacteria Culture

Maryland 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?

$70.79

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $158 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 6 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$9.55$7.94 to $11.75
FacilityA hospital or hospital-owned outpatient department$158$132 to $182

How much rates vary

Facilitymedian $158 · 10th to 90th $13 to $214Professionalmedian $10 · 10th to 90th $6 to $42
$5$10$20$50$100$200facility $158professional $10

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
$32.36
Median
$158.49
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.77
Typical High
$41.69
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$8.13
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$7.41
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.96
Typical High
$26.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.88
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.13
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$6.17
Typical High
$10.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$7.41
Typical High
$16.22

Where Maryland 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.

Maryland· 2nd of 51

$70.79

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.