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Wisconsin 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 $126 · 10th–90th $15$2570%10%10th90th$126Professionalmedian $11 · 10th–90th $5$710%10%10th90th$11$5.0$10.0$20.0$50.0$100.0$200.0$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
$18.20 / $131.83 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $43.65
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $11.22
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $33.88
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $23.44 / $87.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $12.88 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.91 / $24.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $30.90
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $17.78 / $30.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $26.92 / $77.62
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $10.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $45.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $9.55 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.71 / $26.92