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Direct Genetic Test For Mycobacteria

South Dakota rates for HCPCS 87560

A laboratory test that looks for the genetic material of mycobacteria in a sample to find infection. It detects the organism directly, without growing it in culture first. The test targets one named group of these bacteria.

Rates data updated July 2026.

Facilitymedian $52 · 10th–90th $31$520%50%10th$52Professionalmedian $41 · 10th–90th $18$710%10%10th90th$41$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.38
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$52.48
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$32.36
Typical High
$58.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$56.23
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$24.55
Typical High
$36.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54