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Darkfield Microscope Exam for Spirochetes

Nebraska rates for HCPCS 87166

Examination of fluid or scrapings under a microscope arranged so that light strikes the sample from the side, making extremely thin corkscrew-shaped bacteria stand out bright against a dark background. It is used mainly to look for the organism that causes syphilis in fluid taken from a sore, and it can give an answer straight away.

Rates data updated October 2026.

How much does Darkfield Microscope Exam for Spirochetes cost?

$8.51

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $6.76 from a physician practice, and about $31.62 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.76$6.76 to $11.22
FacilityA hospital or hospital-owned outpatient department$31.62$22.91 to $48.98

How much rates vary

Facilitymedian $32 · 10th to 90th $7 to $79Professionalmedian $7 · 10th to 90th $6 to $28
$5$10$20$50$100facility $32professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$26.92
Typical High
$56.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$7.41
Typical High
$11.22
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$37.15
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$13.80
Typical High
$27.54
Medica
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$22.91
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$6.76
Typical High
$40.74
Midlands
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$20.89
Midlands
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.79
Typical High
$6.76
United
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.76
Typical High
$22.39

Where Nebraska sits

The same service costs 3.5 times more in Alaska than in Kentucky. 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.

Nebraska· 48th of 51

$8.51

AK $25.70KY $7.24

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.