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Thyroid Nodule 112-Gene Classifier

South Dakota rates for HCPCS 0026U

Helps determine whether a thyroid nodule is cancerous when the needle sample alone is not conclusive. It sequences 112 genes, reading them as both DNA and RNA, and reports a classification for the nodule.

Rates data updated July 2026.

How much does Thyroid Nodule 112-Gene Classifier cost?

$5,370

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $5,370 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $6,918 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$4,365$2,818 to $8,318
FacilityA hospital or hospital-owned outpatient department$6,918$6,918 to $6,918

How much rates vary

Facilitymedian $6,918 · 10th to 90th $4,074 to $6,918Professionalmedian $4,365 · 10th to 90th $2,399 to $8,710
$2K$5K$10Kfacility $6,918professional $4,365

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
$2,511.89
Median
$4,073.80
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,818.38
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$6,918.31
Typical High
$8,709.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,073.80
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$18,197.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$8,317.64
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$4,786.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78

Where South Dakota sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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· 4th of 51

$5,370

AK $8,128NE $2,399

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.