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Gram Stain Microscopic Exam

Idaho 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?

$9.55

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $5.01 from a physician practice, and about $22.91 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 7 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$5.01$3.98 to $8.32
FacilityA hospital or hospital-owned outpatient department$22.91$11.22 to $40.74

How much rates vary

Facilitymedian $23 · 10th to 90th $6 to $55Professionalmedian $5 · 10th to 90th $3 to $9
$2$5$10$20$50$100$200facility $23professional $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
$10.00
Median
$27.54
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.62
Typical High
$9.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$15.49
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.27
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$8.91
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.09
Typical High
$6.17
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$8.71
Typical High
$15.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.63
Typical High
$4.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$16.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.51
Typical High
$7.08

Where Idaho 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.

Idaho· 21st of 51

$9.55

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.