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Mycobacteria Identification From Culture

Iowa rates for HCPCS 87118

This is a laboratory test that identifies the specific type of mycobacteria growing in a culture sample, such as the bacteria that cause tuberculosis or related infections. Once a culture shows mycobacterial growth, this additional testing pins down exactly which species is present, which helps guide the choice of treatment. It's performed on a sample that has already been grown in the lab, rather than being the initial culture step itself.

Rates data updated July 2026.

How much does Mycobacteria Identification From Culture cost?

$28.18

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $31.62 from a physician practice, and about $22.91 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 7 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$31.62$11.22 to $77.62
FacilityA hospital or hospital-owned outpatient department$22.91$14.45 to $38.90

How much rates vary

Facilitymedian $23 · 10th to 90th $11 to $43Professionalmedian $32 · 10th to 90th $10 to $95
$10$20$50$100facility $23professional $32

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
$11.22
Median
$34.67
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$77.62
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$28.18
Typical High
$35.48
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$26.92
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$38.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.45
Typical High
$32.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.50
Typical High
$19.50
Midlands
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.12
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$14.45
Typical High
$14.45

Where Iowa sits

The same service costs 2.7 times more in Iowa than in Florida. 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.

Iowa· 1st of 51

$28.18

IA $28.18FL $10.47

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.