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Tuberculosis and Acid-Fast Bacteria Culture

Maine 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?

$11.48

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $26.92 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$10.72$8.71 to $12.59
FacilityA hospital or hospital-owned outpatient department$26.92$10.72 to $81.28

How much rates vary

Facilitymedian $27 · 10th to 90th $11 to $110Professionalmedian $11 · 10th to 90th $6 to $14
$5$10$20$50$100facility $27professional $11

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
$10.72
Median
$26.92
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.71
Typical High
$12.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$100.00
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.17
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$14.79
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.72
Typical High
$15.49
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.72
Typical High
$13.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$21.38
Typical High
$97.72
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.72
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$21.88

Where Maine 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.

Maine· 41st of 51

$11.48

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.