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Tuberculosis Bacteria Gene Detection Test

South Dakota rates for HCPCS 87556

This laboratory test uses a gene-based amplification technique to detect the bacteria that cause tuberculosis directly in a patient sample, such as sputum coughed up from the lungs. Amplifying the genetic material makes the test more sensitive than older methods, allowing detection even when only a small amount of bacteria is present. It helps confirm a tuberculosis infection more quickly than waiting for a culture to grow.

Rates data updated July 2026.

How much does Tuberculosis Bacteria Gene Detection Test cost?

$72.44

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $79.43 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$47.86$29.51 to $95.50
FacilityA hospital or hospital-owned outpatient department$79.43$79.43 to $229

How much rates vary

Facilitymedian $79 · 10th to 90th $48 to $229Professionalmedian $48 · 10th to 90th $28 to $100
$20.0$50.0$100.0$200.0facility $79professional $48

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
$47.86
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$38.90
Avera
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$63.10
Avera
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$323.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$37.15
Typical High
$60.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69

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. Pick one to see its carriers and full range.

South Dakota $72.44 · 2nd of 51
AK $93.33DE $28.18

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.