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Tuberculosis and Acid-Fast Bacteria Culture

New Mexico 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?

$11.75

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $35.48 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 5 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$10.72$8.13 to $12.59
FacilityA hospital or hospital-owned outpatient department$35.48$16.22 to $93.33

How much rates vary

Facilitymedian $35 · 10th to 90th $12 to $195Professionalmedian $11 · 10th to 90th $8 to $17
$10$100$1K$10K$100Kfacility $35professional $11

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
$12.88
Median
$34.67
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.72
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$70.79
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.91
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$15.49
Typical High
$23.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$11.75
Typical High
$19.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$16.60
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$10.72
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.31
Typical High
$8.13

Where New Mexico 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 Mexico· 38th of 51

$11.75

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.