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South Dakota rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Facilitymedian $7 · 10th–90th $7–$90%50%90th$7Professionalmedian $7 · 10th–90th $5–$200%20%10th90th$7$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $19.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.76 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $9.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.05 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $10.72
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13