go back

South Dakota rates for HCPCS 87116

Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates

Facilitymedian $71 · 10th–90th $17–$5010%10%10th90th$71Professionalmedian $10 · 10th–90th $7–$650%10%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.77 / $64.57
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $20.89 / $25.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $40.74 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.59 / $15.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $26.30 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $9.77 / $15.14
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72