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Urea Breath Test Analysis

South Dakota rates for HCPCS 78268

The laboratory analysis part of a breath test that detects Helicobacter pylori, a bacterium that lives in the stomach lining and causes ulcers and inflammation. After the patient swallows a labeled urea drink, the collected breath sample is measured for the marker the bacteria release when they break it down. Collecting the sample is charged separately from this analysis.

Rates data updated July 2026.

How much does Urea Breath Test Analysis cost?

$191

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $107 to $257.

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.

How much rates vary

Facilitymedian $107 · 10th to 90th $91 to $155Professionalmedian $195 · 10th to 90th $81 to $263
$50$100$200facility $107professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$138.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$125.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50

Where South Dakota sits

The same service costs 4.8 times more in Washington, DC than in Delaware. 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.

South Dakota· 6th of 51

$191

DC $339DE $70.79

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.