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Donor DNA In Blood After Heart Transplant

South Dakota rates for HCPCS 0055U

Checks whether a transplanted heart is being rejected, without taking a piece of the heart. It measures the donor's DNA circulating in the recipient's blood plasma, using 96 genetic markers to tell donor material apart from the recipient's own.

Rates data updated July 2026.

How much does Donor DNA In Blood After Heart Transplant cost?

$4,898

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $6,166 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$3,890$2,512 to $7,586
FacilityA hospital or hospital-owned outpatient department$6,166$6,166 to $6,166

How much rates vary

Facilitymedian $6,166 · 10th to 90th $3,631 to $6,166Professionalmedian $3,890 · 10th to 90th $2,188 to $7,762
$2K$5K$10Kfacility $6,166professional $3,890

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
$2,290.87
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,165.95
Typical High
$7,762.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$16,218.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$7,585.78
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,949.84
Typical High
$4,265.80
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94

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

$4,898

AK $7,244NE $2,138

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.