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Respiratory Pathogen Panel Of 21 Targets

South Dakota rates for HCPCS 0225U

Looks for the genetic material of 21 respiratory germs in a single sample, among them SARS-CoV-2, the virus that causes COVID-19, and reports which are present in someone with respiratory symptoms.

Rates data updated July 2026.

How much does Respiratory Pathogen Panel Of 21 Targets cost?

$537

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $417 to $832.

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 $708 · 10th to 90th $417 to $708Professionalmedian $537 · 10th to 90th $417 to $1,000
$200$500$1Kfacility $708professional $537

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
$416.87
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$549.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87

Where South Dakota sits

The same service costs 2.5 times more in North Dakota than in Wyoming. 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

$537

ND $631WY $251

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.