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Organism Identification By Chemical Separation

Pennsylvania rates for HCPCS 87143

A follow-up laboratory step performed after bacteria have grown in culture, to pin down exactly which organism is present. The organism's chemical components are separated by passing them through a column, producing a pattern that identifies the species. Knowing the exact organism guides the choice of antibiotic.

Rates data updated July 2026.

How much does Organism Identification By Chemical Separation cost?

$11.75

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $20.42 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 8 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$10.23$10.00 to $11.75
FacilityA hospital or hospital-owned outpatient department$20.42$15.14 to $37.15

How much rates vary

Facilitymedian $20 · 10th to 90th $11 to $55Professionalmedian $10 · 10th to 90th $10 to $22
$10$20$50facility $20professional $10

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
$10.72
Median
$19.05
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.23
Typical High
$29.51
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$19.05
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$15.85
Typical High
$30.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.41
Typical High
$18.20
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.47
Typical High
$21.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$19.05
Typical High
$46.77
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$37.15
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$35.48
Typical High
$74.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.96
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$12.59
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$8.32
Typical High
$17.38

Where Pennsylvania sits

The same service costs 3.4 times more in Oklahoma than in Maryland. 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.

Pennsylvania· 37th of 51

$11.75

OK $31.62MD $9.33

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.