Average Medicaid Culture & Microbiology Tests Payments in Modesto, CA: $5.42
Avg. Paid
$5.42
Range
$0.00 – $25.23
Total Claims
76,133
Providers
30
Typical Payment Range
Typical Medicaid Culture & Microbiology Tests payments fall between $3.29 and $8.84 per claim (median: $5.68). The top 10% of payments exceed $14.70.
Based on per-provider averages across all Medicaid claims in this category.
Laboratory tests that grow and identify bacteria, fungi, and other microorganisms from specimens to diagnose infections and guide antibiotic treatment.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Culture & Microbiology Tests in Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen G Connolly
4301 N Star Way |
$4.83 | 15,869 | 13,832 |
|
Sutter Valley Hospitals
1700 Coffee Rd |
$10.53 | 13,573 | 12,489 |
|
Avtarinder Kaur Nijjar
2625 Coffee Rd |
$1.23 | 12,851 | 11,946 |
|
Doctors Medical Center Of Modesto, Inc.
1441 Florida Ave |
$9.02 | 12,171 | 11,357 |
|
Aruna Dash
4301 N Star Way |
$1.03 | 3,621 | 2,873 |
|
Anthony Rex Victorio
4301 Northstar Way |
$2.64 | 3,168 | 3,088 |
|
Tony L. Yang
4301 N Star Way |
$1.28 | 2,421 | 2,381 |
|
Harvey Chung-Der Chang
4301 N Star Way |
$1.64 | 2,059 | 1,974 |
|
Steven P Fogel
4301 Northstar Way |
$1.98 | 1,958 | 1,827 |
|
Yosemite Pathology Medical Group, Inc
4301 N Star Way |
$1.30 | 1,851 | 1,764 |
|
Jonathan Chow
4301 N Star Way |
$1.47 | 1,221 | 1,201 |
|
Kishore Kumar Gaddam
1510 Florida Ave |
$25.23 | 1,074 | 1,056 |
|
Donald Sayet
4301 Northstar Way |
$0.89 | 907 | 685 |
|
Diane Christine Sanders
4301 N Star Way |
$1.29 | 717 | 397 |
|
Shijun Cui
2625 Coffee Rd |
$1.46 | 571 | 545 |
|
Sutter Valley Medical Foundation
600 Coffee Rd |
$9.24 | 558 | 551 |
|
County Of Stanislaus
1524 Mchenry Ave Ste 300 |
$12.12 | 294 | 185 |
|
Scott Goodwin Silveira
4301 N Star Way |
$1.60 | 292 | 290 |
|
Curtis Roy Strong
4301 N Star Way |
$1.57 | 227 | 207 |
|
Carol Ann Goeken
1209 Woodrow Ave Ste B10 |
$0.00 | 142 | 142 |
|
Rick Ralph Baier
2625 Coffee Rd |
$1.26 | 141 | 53 |
|
Esther June Tow-Der
1552 Coffee Rd |
$2.13 | 112 | 112 |
|
Raeleigh Crawford Payanes
830 Scenic Dr |
$3.33 | 109 | 102 |
|
Teresa I Limjoco
4301 Northstar Way |
$1.45 | 83 | 83 |
|
Michael Rossini
1524 Mchenry Ave |
$5.05 | 45 | 43 |
|
Steven R Wunschel
1401 Spanos Ct |
$1.81 | 29 | 27 |
|
James Yuen Kuen Yip
1552 Coffee Rd |
$2.21 | 27 | 26 |
|
Emad Kaabipour
4301 N Star Way |
$1.11 | 16 | 16 |
|
Pardeep S Brar
803 Coffee Rd |
$5.84 | 14 | 13 |
|
Baltej Singh Dosanjh
1401 Spanos Ct Ste 205 |
$5.63 | 12 | 12 |
What to Expect: Culture & Microbiology Tests
A specimen is collected (swab, blood, urine, etc.) and sent to the lab where it's placed in a growth medium. Results for rapid tests (like strep) are available in minutes. Standard cultures take 24-72 hours. Sensitivity testing (determining which antibiotics will work) takes an additional day. Your doctor may start treatment before results are available.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 87081 | Bacterial culture screen | $6.09 | 17,067,723 | 13,148 |
| 87070 | Bacterial culture any source | $7.92 | 16,974,753 | 10,129 |
| 87186 | Susceptibility MIC per agent | $4.81 | 16,618,129 | 4,454 |
| 87077 | Bacterial culture aerobic ID | $5.04 | 14,909,874 | 4,673 |
| 87205 | Gram stain smear primary | $2.40 | 4,994,833 | 2,839 |
| 87210 | Wet mount infectious agent | $5.11 | 4,712,262 | 6,976 |
| 87147 | Culture typing immunologic | $3.18 | 2,451,709 | 1,203 |
| 87150 | Culture typing nucleic pulse | $30.04 | 1,606,021 | 729 |
| 87075 | Bacterial culture anaerobic ID | $5.59 | 1,503,203 | 1,156 |
| 87184 | Susceptibility disk method | $4.38 | 1,443,783 | 653 |
| 87177 | Ova/parasite smear | $4.80 | 1,206,576 | 603 |
| 87209 | Smear complex stain ova/para | $9.06 | 1,133,525 | 393 |
| 87102 | Fungal culture other | $4.97 | 525,252 | 550 |
| 87206 | Smear fluorescent/acid fast | $2.77 | 350,856 | 384 |
| 87101 | Fungal culture skin | $4.04 | 296,460 | 164 |
| 87110 | Chlamydia culture | $8.71 | 248,967 | 475 |
| 87116 | Mycobacterial culture | $4.86 | 198,775 | 320 |
| 87076 | Bacterial culture anaerobic def | $6.97 | 168,632 | 188 |
| 87071 | Bacterial culture quantitative | $5.89 | 121,148 | 208 |
| 87106 | Fungal culture definitive ID | $4.99 | 116,838 | 169 |
| 87181 | Susceptibility per organism | $3.38 | 94,626 | 147 |
| 87185 | Susceptibility enzyme detect | $2.79 | 89,528 | 151 |
| 87149 | Culture typing nucleic acid | $12.60 | 53,774 | 97 |
| 87140 | Culture typing fluorescent | $3.35 | 43,147 | 59 |
| 87158 | Culture typing other methods | $4.86 | 37,576 | 21 |
| 87207 | Smear special stain | $5.06 | 25,167 | 89 |
| 87176 | Homogenization tissue culture | $2.19 | 19,563 | 81 |
| 87073 | Bacterial culture anaerobic | $2.91 | 15,495 | 39 |
| 87143 | Culture typing gas chromat | $5.93 | 12,219 | 5 |
| 87169 | Macroscopic exam parasite | $7.88 | 8,524 | 5 |
| 87168 | Macroscopic exam arthropod | $1.59 | 7,301 | 17 |
| 87187 | Susceptibility microtiter MIC | $20.40 | 4,651 | 7 |
| 87172 | Pinworm exam | $2.20 | 4,534 | 12 |
| 87188 | Susceptibility MIC macrobroth | $1.23 | 3,056 | 3 |
| 87190 | Susceptibility mycobacterial | $1.92 | 775 | 4 |
| 87164 | Dark field examination | $10.31 | 707 | 3 |
| 87153 | Culture typing additional | $47.98 | 459 | 3 |
| 87152 | Culture typing identification | — | — | — |
| 87166 | Dark field examination | — | — | — |
| 87197 | Susceptibility serum bactericid | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Culture & Microbiology Tests cost in Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Modesto, CA is $5.42 per claim, based on 76,133 claims from 30 providers. Typical payments fall between $3.29 and $8.84. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Culture & Microbiology Tests in Modesto, CA?
There are 30 Medicaid providers offering Culture & Microbiology Tests related services in Modesto, CA according to public payment data.
What is the price range for Culture & Microbiology Tests in Modesto, CA?
Medicaid reimbursement for Culture & Microbiology Tests in Modesto, CA ranges from $0.00 to $25.23 per claim, with an average of $5.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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