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Special Stain Smear Exam For Germs

Maryland 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?

$4.07

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $4.07 from a physician practice, and about $5.01 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$4.07$3.39 to $4.27
FacilityA hospital or hospital-owned outpatient department$5.01$3.80 to $6.92

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $18Professionalmedian $4 · 10th to 90th $3 to $6
$2$5$10facility $5professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$6.46
Typical High
$7.94
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$4.07
Typical High
$5.13
CareFirst
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$4.27
Typical High
$4.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.88
Median
$3.80
Typical High
$6.92
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$5.50
Typical High
$12.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$6.17
Typical High
$10.47
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
$3.16
Typical High
$4.47
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2.09
Median
$5.25
Typical High
$5.25
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
$2.00
Median
$2.04
Typical High
$2.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.79
Median
$0.81
Typical High
$0.81

Where Maryland 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.

Maryland· 51st of 51

$4.07

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.