go back

Tuberculosis and Acid-Fast Bacteria Culture

West Virginia 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?

$117

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $126 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 5 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$8.71$8.13 to $10.23
FacilityA hospital or hospital-owned outpatient department$126$112 to $170

How much rates vary

Facilitymedian $126 · 10th to 90th $16 to $195Professionalmedian $9 · 10th to 90th $6 to $13
$5$10$20$50$100$200facility $126professional $9

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
$83.18
Median
$125.89
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.71
Typical High
$12.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
CareSource
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$20.42
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$20.89
Typical High
$72.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$114.82
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.90
Typical High
$14.79

Where West Virginia 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.

West Virginia· 1st of 51

$117

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.