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Scoliosis Progression Risk Score From Saliva

South Dakota rates for HCPCS 0004M

Estimates how likely a curve of the spine, known as scoliosis, is to get worse. It examines 53 inherited genetic markers in a saliva sample and combines them into a single risk score rather than reporting each marker separately.

Rates data updated July 2026.

How much does Scoliosis Progression Risk Score From Saliva cost?

$102

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $83.18 to $155.

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.

How much rates vary

Facilitymedian $89 · 10th to 90th $55 to $126Professionalmedian $102 · 10th to 90th $48 to $219
$50$100$200facility $89professional $102

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$104.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where South Dakota sits

The same service costs 4.3 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· 9th of 51

$102

AK $178DE $41.69

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.