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Ohio 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 $40 · 10th–90th $11$2290%5%10th90th$40Professionalmedian $9 · 10th–90th $5$290%10%20%10th90th$9$5.0$20.0$100.0$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
$10.72 / $40.74 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $10.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $11.48 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.76 / $14.13
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $11.22 / $13.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $14.13 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.08 / $20.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $30.90 / $144.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $6.92 / $18.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.77 / $13.49
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.22 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $10.72 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.46 / $14.13