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Antibiotic Effectiveness Panel For Bacteria

Iowa rates for HCPCS 87186

After bacteria from an infection are grown in the laboratory, this test exposes them to a panel of different antibiotics at varying strengths to determine which drugs are strong enough to stop them from growing. The result helps a clinician choose an antibiotic that is likely to work rather than one the bacteria can resist. It is typically ordered after a culture has already identified the type of bacteria present.

Rates data updated July 2026.

How much does Antibiotic Effectiveness Panel For Bacteria cost?

$20.89

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $63.10 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$13.49$8.71 to $33.11
FacilityA hospital or hospital-owned outpatient department$63.10$21.88 to $100

How much rates vary

Facilitymedian $63 · 10th to 90th $13 to $204Professionalmedian $13 · 10th to 90th $7 to $65
$10$100$1K$10K$100Kfacility $63professional $13

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
$13.18
Median
$61.66
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$13.49
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.60
Typical High
$20.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$21.38
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$19.05
Typical High
$81.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$8.91
Typical High
$22.39
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.48
Typical High
$35.48
Midlands
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$11,481.54
Typical High
$79,432.82
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.24
Typical High
$21.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$8.71

Where Iowa sits

The same service costs 10.5 times more in West Virginia than in New Mexico. 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.

Iowa· 17th of 51

$20.89

WV $83.18NM $7.94

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.