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Drug-Resistant Bacteria Gene Screening Test

South Dakota rates for HCPCS 87500

This is a laboratory test performed on a sample, such as a swab, that looks directly for the genetic material of specific genes that make certain bacteria resistant to a commonly used antibiotic. Finding these genes indicates the bacteria present would likely not respond to that antibiotic, which matters for choosing safe and effective treatment and for preventing spread in a hospital setting. It is often used as a screening test for patients being admitted to or already in a hospital.

Rates data updated July 2026.

How much does Drug-Resistant Bacteria Gene Screening Test cost?

$41.69

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 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$41.69$27.54 to $70.79
FacilityA hospital or hospital-owned outpatient department$66.07$56.23 to $66.07

How much rates vary

Facilitymedian $66 · 10th to 90th $40 to $66Professionalmedian $42 · 10th to 90th $23 to $91
$20$50$100facility $66professional $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
$24.55
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$45.71
Avera
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$37.15
Typical High
$37.15
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
$33.11
Median
$54.95
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$24.55
Typical High
$380.19
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 3.0 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· 8th of 51

$41.69

AK $79.43DC $26.30

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.