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Gram Stain Microscopic Exam

Florida rates for HCPCS 87205

This laboratory test applies a special dye to a sample and examines it under a microscope to identify the general type of bacteria, fungi, or cells present. It gives quick, preliminary information about a possible infection, often before slower culture results are available.

Rates data updated July 2026.

How much does Gram Stain Microscopic Exam cost?

$20.89

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $57.54 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$3.80$3.55 to $4.68
FacilityA hospital or hospital-owned outpatient department$57.54$16.22 to $97.72

How much rates vary

Facilitymedian $58 · 10th to 90th $5 to $132Professionalmedian $4 · 10th to 90th $3 to $42
$2$10$50$200facility $58professional $4

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
$5.89
Median
$58.88
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.80
Typical High
$41.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$4.27
AvMed
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$5.01
AvMed
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$6.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$5.25
Typical High
$12.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.57
Typical High
$8.51
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$7.94
Typical High
$33.11
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$5.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.57
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$3.80
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.57
Typical High
$6.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$4.27

Where Florida sits

The same service costs 11.7 times more in Maryland than in Wyoming. 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.

Florida· 5th of 51

$20.89

MD $50.12WY $4.27

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.