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Tuberculosis and Acid-Fast Bacteria Culture

Michigan 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?

$11.22

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $15.85 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$10.23$8.91 to $11.75
FacilityA hospital or hospital-owned outpatient department$15.85$10.23 to $31.62

How much rates vary

Facilitymedian $16 · 10th to 90th $10 to $65Professionalmedian $10 · 10th to 90th $8 to $14
$5$10$20$50facility $16professional $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
$9.77
Median
$15.85
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$12.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$12.30
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.13
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.02
Typical High
$15.49
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.47
Typical High
$19.05
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.88
Typical High
$19.95
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.30
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$8.91
Typical High
$14.13

Where Michigan 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.

Michigan· 42nd of 51

$11.22

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.