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Special Stain Smear Exam For Germs

Indiana 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?

$4.27

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $3.72 from a physician practice, and about $5.37 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$3.72$2.51 to $5.37
FacilityA hospital or hospital-owned outpatient department$5.37$5.25 to $10.72

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $16Professionalmedian $4 · 10th to 90th $3 to $10
$5$20$100$500$2Kfacility $5professional $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
$4.47
Median
$6.61
Typical High
$19.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.47
Typical High
$25.70
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$5.37
Typical High
$16.22
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$3.09
Typical High
$7.08
CareSource
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
CareSource
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$5.37
Typical High
$6.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$5.37
Typical High
$18.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$7.76
Typical High
$14.45
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$9.77
Median
$13.49
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$4.37
Typical High
$4.79
United
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$4.47
Typical High
$6.46
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
$2.04
Median
$2.19
Typical High
$15.85
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.81
Median
$0.87
Typical High
$6.46

Where Indiana 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.

Indiana· 47th of 51

$4.27

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.