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Autism Risk Blood Metabolite Panel

South Dakota rates for HCPCS 0322U

Assesses the likelihood of autism spectrum disorder by measuring 14 chemical substances in a blood plasma sample, including acylcarnitines, which reflect how the body burns fat for energy, and metabolites produced by gut bacteria. The pattern is reported as a classification. It measures body chemistry rather than genes or gene activity.

Rates data updated October 2026.

How much does Autism Risk Blood Metabolite Panel cost?

$759

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $525 to $1,445.

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 $851 · 10th to 90th $708 to $1,380Professionalmedian $759 · 10th to 90th $380 to $1,778
$500$1K$2Kfacility $851professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$524.81
Median
$524.81
Typical High
$851.14
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$501.19
Median
$501.19
Typical High
$707.95
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$870.96
Median
$1,445.44
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$851.14
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$380.19
Median
$676.08
Typical High
$891.25
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$2,041.74
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$316.23
Median
$446.68
Typical High
$758.58
Wellmark
Setting
Professional
Modifier
None (both parts)
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11

Where South Dakota sits

The same service costs 26.9 times more in Alaska than in Alabama. 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· 18th of 51

$759

AK $1,698AL $63.10

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.