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Antibiotic Sensitivity Test for a Single Drug

New York rates for HCPCS 87188

A laboratory test that checks whether one particular antibiotic can stop the growth of the bacteria found in a patient's sample. It is reported separately for each drug examined, so testing a panel of drugs produces several results.

Rates data updated July 2026.

How much does Antibiotic Sensitivity Test for a Single Drug cost?

$6.31

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $6.31 for this service. The price depends on where it is billed: about $5.13 from a physician practice, and about $10.96 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 9 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$5.13$4.37 to $6.61
FacilityA hospital or hospital-owned outpatient department$10.96$6.61 to $15.49

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $18Professionalmedian $5 · 10th to 90th $3 to $12
$10.0$100.0$1.0K$10.0Kfacility $11professional $5

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
$5.50
Median
$11.75
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.37
Typical High
$9.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$17.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.55
Typical High
$15.14
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$6.61
Typical High
$6.61
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.61
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$14.79
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$9.77
Typical High
$43.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$18.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.57
Typical High
$12.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.31
Typical High
$8.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$13.18
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$10.23
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$7.94
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.68
Typical High
$15.14
Univera
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.50
Typical High
$15.85
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.61
Typical High
$21.38

Where New York sits

The same service costs 3.5 times more in Nebraska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $6.31 · 33rd of 51
NE $17.38DC $5.01

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.