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Mycobacteria Identification From Culture

New Jersey 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?

$16.60

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $32.36 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$11.75$9.77 to $13.18
FacilityA hospital or hospital-owned outpatient department$32.36$21.38 to $83.18

How much rates vary

Facilitymedian $32 · 10th to 90th $14 to $525Professionalmedian $12 · 10th to 90th $8 to $21
$10$100$1K$10Kfacility $32professional $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
$18.20
Median
$25.12
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.75
Typical High
$21.38
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$72.44
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$32.36
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$30.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$14.45
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$5,623.41
Typical High
$20,417.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.30
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$14.45
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.71
Typical High
$15.85

Where New Jersey 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.

New Jersey· 17th of 51

$16.60

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.