Mycobacteria culture test

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC AFB CULTURE

Payers reporting CPT 87116

Payer pricing summary

Low

Average

$201

Median

$64

High

$3.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +36 other terms	882	$11	$16	$23	144%	346–949	$1 – $359
2	Anthem fee schedule · outpatient · +27 other terms	248	$15	$23	$33	141%	222–519	$2 – $352
3	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	596	$17	$34	$42	124%	121–346	$1 – $683
4	Humana fee schedule · outpatient · +30 other terms	608	$11	$26	$37	141%	87–312	$1 – $359
5	Aetna fee schedule · outpatient · +33 other terms	811	$14	$43	$206	479%	77–599	$0 – $8.4k
6	Cigna fee schedule · outpatient · +27 other terms	569	$25	$38	$110	289%	63–396	$5 – $1.5k
7	Molina fee schedule · outpatient · +31 other terms	325	$12	$13	$9	66%	63–81	$1 – $193
8	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$25	$25	—	—	47	$25 – $25
9	Optum fee schedule · outpatient · +21 other terms	83	$11	$33	$53	159%	10–100	$10 – $261
10	First Health fee schedule · outpatient · +18 other terms	76	$25	$51	$76	150%	8–80	$6 – $473
11	Florida Blue fee schedule · outpatient · +3 other terms	1	$80	$80	$19	24%	6–60	$63 – $120
12	Healthpartners fee schedule · outpatient · +12 other terms	28	$33	$29	$7	23%	3–30	$11 – $37
13	Bcbs Al facility · other · outpatient · +5 other terms	4	$10	$11	$1	11%	3–30	$10 – $12
14	WellCare fee schedule · outpatient · +22 other terms	351	$11	$13	$7	53%	2–20	$8 – $93
15	Ambetter fee schedule · outpatient · +21 other terms	131	$18	$15	$7	44%	2–20	$7 – $54
16	Cigna Healthspring fee schedule · outpatient · +8 other terms	152	$11	$11	$1	12%	1–10	$6 – $18
17	Kaiser fee schedule · outpatient · +21 other terms	132	$12	$20	$35	173%	1–10	$2 – $278
18	Superior Healthplan fee schedule · outpatient · +6 other terms	67	$11	$59	$43	73%	1–10	$9 – $304
19	Devoted fee schedule · outpatient · +16 other terms	197	$11	$11	$0	2%	—	$11 – $12
20	Oscar fee schedule · outpatient · +18 other terms	168	$21	$23	$8	34%	—	$11 – $33
21	Aetna Better Health fee schedule · outpatient · +18 other terms	125	$10	$11	$3	31%	—	$6 – $37
22	MultiPlan fee schedule · outpatient · +21 other terms	123	$121	$171	$1.1k	657%	—	$7 – $18.7k
23	Tricare facility · fee schedule · outpatient · +19 other terms	123	$11	$15	$32	211%	—	$8 – $290
24	Caresource fee schedule · outpatient · +17 other terms	106	$11	$17	$14	86%	—	$1 – $93
25	Highmark facility · fee schedule · outpatient · +18 other terms	77	$19	$30	$33	107%	—	$7 – $149

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