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Induced Abortion Using Vaginal Medication

South Dakota rates for HCPCS 59855

A medically induced pregnancy termination performed using vaginal suppository medication, such as a prostaglandin, sometimes combined with a cervical-softening device to help the cervix open. The service covers the full course of care including hospital admission, monitoring visits, and delivery of the fetus and placental tissue. It is a medication-based method rather than a surgical procedure such as dilation and curettage.

Facilitymedian $537 · 10th–90th $363$4,3650%20%40%10th90th$537Professionalmedian $617 · 10th–90th $339$1,1750%10%10th90th$617$500.0$1.0K$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$724.44
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$912.01
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$794.33
Typical High
$1,096.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,000.00