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North Carolina 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 $87 · 10th–90th $10–$4900%5%10th90th$87Professionalmedian $10 · 10th–90th $8–$290%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
$9.55 / $87.10 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.59 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $46.77 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.77 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $22.39 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.41 / $16.60
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $20.89 / $31.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $9.77 / $21.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $24.55 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $10.72 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.59 / $15.14
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $100.00