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Special Stain Smear Exam For Germs

South Dakota rates for HCPCS 87206

A sample from the body is spread on a slide and treated with a special fluorescent or acid-fast stain, then examined under a microscope to look for certain bacteria, fungi, or parasites that are hard to see with routine staining, including the type of bacteria that causes tuberculosis. A specialist reports back on what, if anything, is seen. It gives a fast, same-day clue about a possible infection while slower culture results are still pending.

Rates data updated July 2026.

How much does Special Stain Smear Exam For Germs cost?

$10.23

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $42.66 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$6.31$4.90 to $12.88
FacilityA hospital or hospital-owned outpatient department$42.66$10.23 to $64.57

How much rates vary

Facilitymedian $43 · 10th to 90th $9 to $126Professionalmedian $6 · 10th to 90th $4 to $15
$5$10$20$50$100facility $43professional $6

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
$42.66
Median
$64.57
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.90
Typical High
$36.31
Avera
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$5.50
Typical High
$8.13
Avera
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$10.23
Typical High
$12.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$8.91
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$7.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.88
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.79
Typical High
$7.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37

Where South Dakota sits

The same service costs 12.0 times more in West Virginia than in Kentucky. 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· 9th of 51

$10.23

WV $60.26KY $5.01

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.