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Genetic Detection Of An Unusual Infection

South Dakota rates for HCPCS 87797

A laboratory test that searches a patient sample for the genetic material of an infecting organism that has no standard named test of its own. A probe binds directly to the organism's genetic material, without a copying step first to boost the amount present. Each organism looked for is billed separately.

Rates data updated July 2026.

How much does Genetic Detection Of An Unusual Infection cost?

$44.67

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $57.54 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$41.69$23.44 to $60.26
FacilityA hospital or hospital-owned outpatient department$57.54$47.86 to $57.54

How much rates vary

Facilitymedian $58 · 10th to 90th $32 to $58Professionalmedian $42 · 10th to 90th $20 to $72
$20$50facility $58professional $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
$20.89
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.44
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$57.54
Typical High
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$33.88
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
$33.88
Median
$61.66
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$26.92
Typical High
$39.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where South Dakota sits

The same service costs 3.1 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· 3rd of 51

$44.67

AK $67.61DE $21.88

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.