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Antibiotic Effectiveness Panel For Bacteria

Virginia 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?

$19.50

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $61.66 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$7.41$6.46 to $8.13
FacilityA hospital or hospital-owned outpatient department$61.66$19.05 to $87.10

How much rates vary

Facilitymedian $62 · 10th to 90th $9 to $132Professionalmedian $7 · 10th to 90th $4 to $20
$10.0$100.0$1.0K$10.0Kfacility $62professional $7

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
$12.88
Median
$67.61
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$18.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$6.61
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$43.65
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$22.39
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.31
Typical High
$15.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$12.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$14.45
Typical High
$16.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$14.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$18.20
Sentara
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$14.45
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$14.79
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$8.71
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.25
Typical High
$12.02

Where Virginia 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.

Virginia $19.50 · 19th 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.