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Genetic Test for a Respiratory Bacterium

South Dakota rates for HCPCS 87486

A laboratory test that detects genetic material from a specific type of bacterium linked to respiratory tract infection, using a technique that amplifies small amounts of genetic material so the test can find even a low level of the organism. A sample is usually collected from the nose, throat, or lower airway. Results help identify this particular cause of a cough, chest infection, or pneumonia-like illness.

Rates data updated July 2026.

How much does Genetic Test for a Respiratory Bacterium cost?

$38.02

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $66.07 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$35.48$24.55 to $66.07
FacilityA hospital or hospital-owned outpatient department$66.07$66.07 to $138

How much rates vary

Facilitymedian $66 · 10th to 90th $40 to $155Professionalmedian $35 · 10th to 90th $23 to $83
$20$50$100facility $66professional $35

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
$39.81
Median
$138.04
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$41.69
Avera
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$288.40
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$31.62
Typical High
$60.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48

Where South Dakota sits

The same service costs 2.5 times more in Alaska than in Washington, DC. 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· 30th of 51

$38.02

AK $69.18DC $27.54

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.