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Mycobacteria Identification From Culture

West Virginia 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?

$12.02

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $18.20 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 4 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$10.96 to $12.02
FacilityA hospital or hospital-owned outpatient department$18.20$12.02 to $21.88

How much rates vary

Facilitymedian $18 · 10th to 90th $12 to $22Professionalmedian $12 · 10th to 90th $7 to $12
$10$20$50facility $18professional $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
$12.02
Median
$18.20
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$11.75
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$21.38
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$21.38
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.76
Typical High
$15.14

Where West Virginia 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.

West Virginia· 45th of 51

$12.02

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.