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Antibiotic Effectiveness Panel For Bacteria

Illinois 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?

$27.54

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $67.61 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 7 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$7.59$6.61 to $11.48
FacilityA hospital or hospital-owned outpatient department$67.61$22.91 to $100

How much rates vary

Facilitymedian $68 · 10th to 90th $13 to $138Professionalmedian $8 · 10th to 90th $3 to $18
$5$10$20$50$100$200facility $68professional $8

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
$69.18
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.71
Typical High
$17.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.25
Typical High
$11.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$28.18
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.03
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$20.42
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$10.00
Typical High
$15.85
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$16.60
Typical High
$104.71
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$8.71
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.50
Typical High
$8.71

Where Illinois 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.

Illinois· 7th of 51

$27.54

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.