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Special Stain Smear Exam For Germs

Georgia 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?

$4.68

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $4.68 for this service. The price depends on where it is billed: about $3.63 from a physician practice, and about $7.24 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.63$2.63 to $8.13
FacilityA hospital or hospital-owned outpatient department$7.24$5.37 to $11.75

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $19Professionalmedian $4 · 10th to 90th $2 to $10
$2$5$10$20$50facility $7professional $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
$3.55
Median
$3.55
Typical High
$11.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$4.68
Typical High
$9.33
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$3.31
Typical High
$7.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4.68
Median
$7.24
Typical High
$18.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.66
Median
$2.82
Typical High
$10.47
CareSource
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
CareSource
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$5.37
Typical High
$5.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$11.75
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$3.80
Typical High
$8.32
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$5.89
Median
$8.13
Typical High
$19.95
United
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
United
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$4.07
Typical High
$11.22
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
$1.78
Median
$2.29
Typical High
$2.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.72
Median
$0.91
Typical High
$1.05

Where Georgia 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.

Georgia· 40th of 51

$4.68

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.