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Donor DNA Transplant Monitoring Test

South Dakota rates for HCPCS 0118U

Monitors a transplanted organ for signs of rejection using a blood sample. It measures what fraction of the DNA in the plasma came from the donated organ; a rising fraction suggests the organ is being damaged. Unlike biopsy-based rejection tests, it does not need tissue.

Rates data updated July 2026.

How much does Donor DNA Transplant Monitoring Test cost?

$4,169

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $5,248 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$3,311$2,138 to $6,457
FacilityA hospital or hospital-owned outpatient department$5,248$5,248 to $5,248

How much rates vary

Facilitymedian $5,248 · 10th to 90th $3,090 to $5,248Professionalmedian $3,311 · 10th to 90th $1,862 to $6,607
$500$1K$2K$5Kfacility $5,248professional $3,311

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
$457.09
Median
$3,162.28
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,137.96
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,248.07
Typical High
$6,606.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$13,803.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$6,456.54
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$3,630.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23

Where South Dakota sits

The same service costs 13.5 times more in Alaska than in Vermont. 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· 2nd of 51

$4,169

AK $6,166VT $457

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.