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New Jersey 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 $37 · 10th–90th $12–$1510%5%10%10th90th$37Professionalmedian $10 · 10th–90th $8–$190%20%40%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$12.30 / $37.15 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $19.05
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $199.53 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $23.99 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.77 / $30.20
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.37 / $12.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $11.22 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $10.72 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.46 / $15.85