go back

Tuberculosis and Acid-Fast Bacteria Culture

South Dakota rates for HCPCS 87116

This is a laboratory culture that grows a sample, such as sputum or another body fluid, to look for tuberculosis or related slow-growing bacteria known as acid-fast organisms. Because these organisms grow slowly, results can take days to weeks, and the lab both identifies whether the bacteria are present and provides a preliminary identification of the type.

Rates data updated July 2026.

How much does Tuberculosis and Acid-Fast Bacteria Culture cost?

$25.70

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $25.70 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $70.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$9.55 to $29.51
FacilityA hospital or hospital-owned outpatient department$70.79$66.07 to $72.44

How much rates vary

Facilitymedian $71 · 10th to 90th $21 to $501Professionalmedian $21 · 10th to 90th $7 to $65
$5$10$20$50$100$200$500facility $71professional $21

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.23
Typical High
$64.57
Avera
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.96
Typical High
$16.22
Avera
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$20.89
Typical High
$25.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$40.74
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.59
Typical High
$15.14
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$26.30
Typical High
$29.51
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$9.77
Typical High
$15.14
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72

Where South Dakota sits

The same service costs 14.5 times more in West Virginia than in Rhode Island. 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· 8th of 51

$25.70

WV $117RI $8.13

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.