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Blood Culture Organism And Resistance Panel

New Jersey rates for HCPCS 87154

Tests a positive blood culture for many bacteria and fungi at once by looking for each organism's genetic signature with a panel of probes, and flags genetic markers of antibiotic resistance where they are found. Naming the organism and its resistance pattern within hours rather than days lets antibiotic treatment be narrowed or switched early. Many targets are checked side by side in a single run, rather than an organism's genetic material being read out letter by letter.

Rates data updated July 2026.

How much does Blood Culture Organism And Resistance Panel cost?

$200

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $457 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$170$132 to $186
FacilityA hospital or hospital-owned outpatient department$457$288 to $1,000

How much rates vary

Facilitymedian $457 · 10th to 90th $145 to $2,692Professionalmedian $170 · 10th to 90th $115 to $251
$100$500$2K$10Kfacility $457professional $170

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
$223.87
Median
$363.08
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$251.19
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,467.37
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$478.63
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$234.42
Typical High
$331.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$128.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$218.78
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$218.78

Where New Jersey sits

The same service costs 3.4 times more in Alaska than in Connecticut. 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· 33rd of 51

$200

AK $490CT $145

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.