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Mycobacteria Identification From Culture

South Dakota rates for HCPCS 87118

This is a laboratory test that identifies the specific type of mycobacteria growing in a culture sample, such as the bacteria that cause tuberculosis or related infections. Once a culture shows mycobacterial growth, this additional testing pins down exactly which species is present, which helps guide the choice of treatment. It's performed on a sample that has already been grown in the lab, rather than being the initial culture step itself.

Rates data updated July 2026.

How much does Mycobacteria Identification From Culture cost?

$23.99

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $28.18 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 6 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$21.38$11.48 to $33.88
FacilityA hospital or hospital-owned outpatient department$28.18$26.92 to $28.18

How much rates vary

Facilitymedian $28 · 10th to 90th $17 to $28Professionalmedian $21 · 10th to 90th $10 to $35
$10$20$50$100facility $28professional $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
$10.23
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.48
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$28.18
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$16.98
Typical High
$43.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$17.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$13.18
Typical High
$19.05
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45

Where South Dakota sits

The same service costs 2.7 times more in Iowa than in Florida. 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· 2nd of 51

$23.99

IA $28.18FL $10.47

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.