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Special Stain Smear Exam For Germs

Kentucky 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?

$4.57

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $4.57 for this service. The price depends on where it is billed: about $4.57 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.57$3.02 to $6.31
FacilityA hospital or hospital-owned outpatient department$5.37$4.57 to $10.23

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $10Professionalmedian $5 · 10th to 90th $3 to $8
$2$5$10$20facility $5professional $5

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
$3.24
Median
$4.57
Typical High
$10.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$4.57
Typical High
$5.89
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3.39
Median
$5.37
Typical High
$5.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$4.17
Typical High
$7.59
CareSource
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$6.46
Typical High
$7.76
CareSource
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$6.17
Typical High
$8.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.17
Median
$10.23
Typical High
$11.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$4.47
Typical High
$7.59
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
$1.62
Median
$2.29
Typical High
$2.69
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.65
Median
$0.91
Typical High
$1.07

Where Kentucky 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.

Kentucky· 43rd of 51

$4.57

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.