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Antibiotic Effectiveness Panel For Bacteria

West 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?

$83.18

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $89.13 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$7.76$6.76 to $11.48
FacilityA hospital or hospital-owned outpatient department$89.13$70.79 to $126

How much rates vary

Facilitymedian $89 · 10th to 90th $23 to $155Professionalmedian $8 · 10th to 90th $6 to $68
$5$10$20$50$100$200facility $89professional $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
$23.44
Median
$89.13
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.94
Typical High
$67.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$16.60
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$16.60
Typical High
$51.29
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$102.33
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.25
Typical High
$13.80

Where West 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. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 1st of 51

$83.18

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.