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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 July 2026.

How much does Darkfield Microscope Exam for Spirochetes cost?

$16.98

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $16.98 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $35.48 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$8.51$7.41 to $27.54
FacilityA hospital or hospital-owned outpatient department$35.48$14.13 to $85.11

How much rates vary

Facilitymedian $35 · 10th to 90th $7 to $126Professionalmedian $9 · 10th to 90th $7 to $74
$5.0$10.0$20.0$50.0$100.0facility $35professional $9

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
$22.39
Median
$42.66
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$17.38
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$21.88
Typical High
$27.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$14.13
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.76
Typical High
$12.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$23.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$10.23
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.76
Typical High
$22.39

Where Nebraska sits

The same service costs 2.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nebraska $16.98 · 5th of 51
HI $20.42DC $8.51

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.