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Tuberculosis Genetic Test

South Dakota rates for HCPCS 87555

Looks for the genetic material of the bacterium that causes tuberculosis in a sample such as coughed-up phlegm, using a matching probe that binds that material directly rather than a step that copies it first. Because the organism grows very slowly in the laboratory, reading its genetic material shortens the wait from weeks to a much shorter turnaround, which matters for starting treatment and limiting spread.

Rates data updated July 2026.

How much does Tuberculosis Genetic Test cost?

$45.71

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $51.29 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 6 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$40.74$20.89 to $63.10
FacilityA hospital or hospital-owned outpatient department$51.29$42.66 to $51.29

How much rates vary

Facilitymedian $51 · 10th to 90th $30 to $51Professionalmedian $41 · 10th to 90th $18 to $71
$20$50facility $51professional $41

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
$18.62
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$51.29
Typical High
$64.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$58.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$181.97
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$23.99
Typical High
$35.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92

Where South Dakota sits

The same service costs 3.3 times more in Alaska than in Delaware. 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· 2nd of 51

$45.71

AK $60.26DE $18.20

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.