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Antibiotic Effectiveness Panel For Bacteria

New Mexico 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?

$7.94

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $52.48 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 5 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$7.08 to $8.71
FacilityA hospital or hospital-owned outpatient department$52.48$24.55 to $89.13

How much rates vary

Facilitymedian $52 · 10th to 90th $11 to $129Professionalmedian $8 · 10th to 90th $5 to $10
$10$100$1K$10Kfacility $52professional $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
$13.80
Median
$63.10
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.59
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$57.54
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.08
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$12.30
Typical High
$19.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.47
Typical High
$14.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$13.18
Typical High
$21.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$8.71
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.13
Typical High
$6.46

Where New Mexico 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.

New Mexico· 51st of 51

$7.94

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.