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Maryland 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 $158 · 10th–90th $13–$3980%10%10th90th$158Professionalmedian $10 · 10th–90th $7–$420%10%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
$15.85 / $162.18 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $41.69
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.71 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.41 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $10.23 / $26.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.30 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $5.01 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $5.89 / $10.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $7.41 / $16.22