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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 October 2026.

How much does Gram Stain Microscopic Exam cost?

$4.07

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $3.55 from a physician practice, and about $7.94 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.55$2.57 to $5.13
FacilityA hospital or hospital-owned outpatient department$7.94$4.47 to $7.94

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $21Professionalmedian $4 · 10th to 90th $2 to $16
$2$5$10$20$50facility $8professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.72
Median
$4.27
Typical High
$10.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$3.72
Typical High
$5.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.74
Median
$1.86
Typical High
$2.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.69
Median
$0.74
Typical High
$0.79
Ambetter
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.63
Typical High
$4.27
AvMed
Setting
Facility
Modifier
None
Typical Low
$3.39
Median
$4.27
Typical High
$5.25
AvMed
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$4.27
Typical High
$6.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.95
Median
$5.25
Typical High
$16.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$4.57
Typical High
$8.51
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$4.47
Median
$7.94
Typical High
$28.18
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$3.31
Typical High
$6.03
Molina
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$2.57
Typical High
$3.02
United
Setting
Facility
Modifier
None
Typical Low
$1.38
Median
$4.27
Typical High
$12.02
United
Setting
Professional
Modifier
None
Typical Low
$1.78
Median
$2.57
Typical High
$54.95
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$4.27

Where Florida sits

The same service costs 24.0 times more in Vermont than in Georgia. 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· 36th of 51

$4.07

VT $75.86GA $3.16

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.