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Gram Stain Microscopic Exam

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $23.99 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$6.92$3.80 to $10.72
FacilityA hospital or hospital-owned outpatient department$23.99$8.32 to $60.26

How much rates vary

Facilitymedian $24 · 10th to 90th $5 to $100Professionalmedian $7 · 10th to 90th $3 to $23
$2$10$50$200facility $24professional $7

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
$4.90
Median
$38.02
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$10.47
Typical High
$23.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$8.32
Typical High
$24.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.75
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$16.22
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.27
Typical High
$12.30
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.41
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.55
Typical High
$12.59

Where New Hampshire 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.

New Hampshire· 20th 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.