CPT 87086 Pathology/Laboratory

How Much Does Urine Culture Cost?

Also known as: Bacterial colony count, urine (CPT 87086)

A urine culture test to identify bacteria causing a urinary tract infection and determine which antibiotics will work.

Urine Culture (CPT 87086) costs $8 at Medicare rates.

The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.

Medicare (Facility)
$8
CMS PFS 2026 national rate

Patient Guide: Urine Culture

What you need to know before your appointment

What to Expect

You provide a clean-catch urine sample. The lab grows any bacteria present in the sample to identify the type and test which antibiotics kill it. Results take 2-3 days.

How Long Does It Take?

5 minutes to provide the sample

Common Reasons Doctors Order This

Suspected urinary tract infection, recurrent UTIs, choosing the right antibiotic, UTI that did not respond to initial treatment

How to Prepare

Provide a clean-catch midstream urine sample. Follow the specific instructions provided. Results take a few days because the bacteria must grow.

Procedures Commonly Done Together

These procedures are frequently performed alongside Bacterial colony count, urine

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How to Reduce Your Cost for Bacterial colony count, urine

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

Frequently Asked Questions

How much does Bacterial colony count, urine cost?

The Medicare facility rate for Bacterial colony count, urine is $8. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Bacterial colony count, urine cost without insurance?

Without insurance, the cost of Bacterial colony count, urine can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Bacterial colony count, urine?

Most commercial health insurance plans and Medicare cover Bacterial colony count, urine when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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