go back

Antibiotic Effectiveness Panel For Bacteria

New Jersey 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?

$10.96

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $33.11 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$6.76 to $9.12
FacilityA hospital or hospital-owned outpatient department$33.11$14.13 to $60.26

How much rates vary

Facilitymedian $33 · 10th to 90th $10 to $117Professionalmedian $8 · 10th to 90th $5 to $17
$10.0$100.0$1.0K$10.0Kfacility $33professional $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
$10.00
Median
$33.11
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.59
Typical High
$16.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.25
Typical High
$6.03
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$44.67
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$18.62
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.71
Typical High
$23.99
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.37
Typical High
$9.77
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.59
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$8.71
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.25
Typical High
$12.59

Where New Jersey sits

The same service costs 10.5 times more in West Virginia than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $10.96 · 38th of 51
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.