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Antibiotic Effectiveness Panel For Bacteria

South Dakota rates for HCPCS 87186

After bacteria from an infection are grown in the laboratory, this test exposes them to a panel of different antibiotics at varying strengths to determine which drugs are strong enough to stop them from growing. The result helps a clinician choose an antibiotic that is likely to work rather than one the bacteria can resist. It is typically ordered after a culture has already identified the type of bacteria present.

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $40$950%10%20%10th90th$55Professionalmedian $42 · 10th–90th $8$1480%10%10th90th$42$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
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$45.71
Typical High
$151.36
Avera
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$8.71
Typical High
$12.88
Avera
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.71
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$20.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$41.69
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.03
Typical High
$17.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$20.89
Typical High
$23.99
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$7.76
Typical High
$12.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71