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Extra Laboratory Work To Identify An Organism

Maryland rates for HCPCS 87158

Additional laboratory testing to pin down exactly which bacterium or other organism has grown from a sample, using a technique other than the standard named ones. It is added when the routine methods leave the organism unnamed and knowing the exact species matters for treatment. The work is charged on top of the original culture.

Rates data updated July 2026.

How much does Extra Laboratory Work To Identify An Organism cost?

$5.75

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $5.75 for this service. Most negotiated rates run $5.13 to $8.32.

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.

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $10Professionalmedian $6 · 10th to 90th $4 to $20
$2.0$5.0$10.0$20.0$50.0facility $4professional $6

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.75
Typical High
$20.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$6.17
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$5.13
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$6.76
Typical High
$18.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.72
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.72
Typical High
$7.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.37
Typical High
$11.48

Where Maryland sits

The same service costs 3.0 times more in Nebraska than in Connecticut. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $5.75 · 49th of 51
NE $15.14CT $5.01

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.