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Mycobacteria Identification From Culture

North Carolina 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?

$12.88

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $30.20 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$11.75$11.48 to $14.45
FacilityA hospital or hospital-owned outpatient department$30.20$12.88 to $83.18

How much rates vary

Facilitymedian $30 · 10th to 90th $12 to $145Professionalmedian $12 · 10th to 90th $8 to $19
$10$20$50$100facility $30professional $12

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
$11.75
Median
$45.71
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.75
Typical High
$19.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$28.18
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.94
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$20.89
Typical High
$21.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$10.72
Typical High
$21.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$31.62
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$15.14
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.76
Typical High
$15.14
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33

Where North Carolina 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.

North Carolina· 39th of 51

$12.88

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.