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Tuberculosis and Acid-Fast Bacteria Culture

New Jersey 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?

$16.22

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $9.77 from a physician practice, and about $40.74 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$9.77$8.32 to $11.75
FacilityA hospital or hospital-owned outpatient department$40.74$17.78 to $79.43

How much rates vary

Facilitymedian $41 · 10th to 90th $12 to $148Professionalmedian $10 · 10th to 90th $8 to $21
$10$100$1K$10Kfacility $41professional $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
$13.18
Median
$40.74
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.77
Typical High
$20.89
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$323.59
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$23.99
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.47
Typical High
$30.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.37
Typical High
$12.30
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.55
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$10.72
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.46
Typical High
$15.49

Where New Jersey 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.

New Jersey· 22nd of 51

$16.22

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.