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Special Stain Smear Exam For Germs

Connecticut rates for HCPCS 87206

A sample from the body is spread on a slide and treated with a special fluorescent or acid-fast stain, then examined under a microscope to look for certain bacteria, fungi, or parasites that are hard to see with routine staining, including the type of bacteria that causes tuberculosis. A specialist reports back on what, if anything, is seen. It gives a fast, same-day clue about a possible infection while slower culture results are still pending.

Rates data updated October 2026.

How much does Special Stain Smear Exam For Germs cost?

$5.13

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $3.72 from a physician practice, and about $7.59 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.72$2.75 to $5.89
FacilityA hospital or hospital-owned outpatient department$7.59$6.31 to $11.22

How much rates vary

Facilitymedian $8 · 10th to 90th $5 to $14Professionalmedian $4 · 10th to 90th $3 to $8
$5$10$20facility $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
Professional
Modifier
None
Typical Low
$2.82
Median
$4.90
Typical High
$6.46
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$7.41
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$3.24
Typical High
$7.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.72
Median
$8.51
Typical High
$19.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$4.79
Typical High
$8.91
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$4.27
Typical High
$8.13
Health New England
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$30.20
United
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
United
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$4.17
Typical High
$9.55
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.19
Median
$2.45
Typical High
$2.45
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.87
Median
$0.98
Typical High
$0.98

Where Connecticut sits

The same service costs 4.2 times more in Kansas than in Maryland. 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.

Connecticut· 35th of 51

$5.13

KS $16.98MD $4.07

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.