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New York 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 $25 · 10th–90th $9$810%10%10th90th$25Professionalmedian $9 · 10th–90th $5$210%20%10th90th$9$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$9.12 / $25.12 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.55 / $16.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.62 / $25.12
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $10.72 / $10.72
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $23.44 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $15.49 / $72.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $13.80 / $34.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $20.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.72 / $14.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $29.51 / $56.23
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.76 / $24.55
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $26.30
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.22 / $34.67