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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.

How much does Antibiotic Effectiveness Panel For Bacteria cost?

$47.86

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $54.95 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$41.69$9.77 to $69.18
FacilityA hospital or hospital-owned outpatient department$54.95$45.71 to $87.10

How much rates vary

Facilitymedian $55 · 10th to 90th $40 to $95Professionalmedian $42 · 10th to 90th $8 to $148
$10$20$50$100$200facility $55professional $42

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
$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

Where South Dakota sits

The same service costs 10.5 times more in West Virginia than in New Mexico. 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· 3rd of 51

$47.86

WV $83.18NM $7.94

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.