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Tuberculosis and Acid-Fast Bacteria Culture

Missouri 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?

$14.45

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $18.20 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$10.47$7.08 to $16.98
FacilityA hospital or hospital-owned outpatient department$18.20$12.30 to $37.15

How much rates vary

Facilitymedian $18 · 10th to 90th $9 to $91Professionalmedian $10 · 10th to 90th $5 to $26
$5$10$20$50$100facility $18professional $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
$9.33
Median
$18.20
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.30
Typical High
$28.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$8.32
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$20.42
Typical High
$24.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$20.89
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$10.23
Typical High
$28.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$17.78
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.46
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.72
Typical High
$14.45
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.08
Typical High
$14.45

Where Missouri 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.

Missouri· 27th of 51

$14.45

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.