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Tuberculosis and Acid-Fast Bacteria Culture

Utah 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?

$10.72

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $47.86 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 6 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$9.55$7.94 to $10.72
FacilityA hospital or hospital-owned outpatient department$47.86$29.51 to $398

How much rates vary

Facilitymedian $48 · 10th to 90th $12 to $468Professionalmedian $10 · 10th to 90th $6 to $12
$5$20$100$500facility $48professional $10

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
$21.38
Median
$93.33
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$10.23
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$11.22
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.41
Typical High
$20.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$48.98
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.12
Typical High
$9.77
Select Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$14.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$9.55
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$7.08
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.46
Typical High
$15.14

Where Utah 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.

Utah· 46th of 51

$10.72

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.