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Tuberculosis and Acid-Fast Bacteria Culture

Rhode Island 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?

$8.13

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $8.13 for this service. The price depends on where it is billed: about $5.75 from a physician practice, and about $12.30 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 4 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$5.75$3.02 to $8.32
FacilityA hospital or hospital-owned outpatient department$12.30$8.71 to $18.62

How much rates vary

Facilitymedian $12 · 10th to 90th $5 to $59Professionalmedian $6 · 10th to 90th $3 to $12
$2$5$10$20$50facility $12professional $6

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
$8.71
Median
$18.20
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$9.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$12.30
Typical High
$13.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.13
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$25.70
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.02
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$5.75
Typical High
$15.14

Where Rhode Island 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.

Rhode Island· 51st of 51

$8.13

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.