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Unlisted Fluoroscopy Service

South Dakota rates for HCPCS 76496

Covers a service using fluoroscopy — imaging that shows a live, moving X-ray picture on a screen — that has no standard named entry of its own. The provider submits a written description of exactly what was done. Because it stands in for many different services, what it covers varies from one case to the next.

Rates data updated October 2026.

How much does Unlisted Fluoroscopy Service cost?

$155

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $141 to $347.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $155 · 10th to 90th $112 to $240Professionalmedian $151 · 10th to 90th $91 to $437
$100$200$500facility $155professional $151

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
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$66.07
Median
$91.20
Typical High
$208.93
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$316.23
Typical High
$436.52
Cigna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$48.98
Median
$190.55
Typical High
$257.04
Cigna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$89.13
Median
$138.04
Typical High
$173.78
Medica
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$154.88
Typical High
$239.88
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$141.25
Median
$194.98
Typical High
$616.60
Midlands
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$141.25
Typical High
$141.25
Midlands
Setting
Professional
Modifier
26 · Professional part
Typical Low
$47.86
Median
$48.98
Typical High
$48.98
Midlands
Setting
Professional
Modifier
TC · Technical part
Typical Low
$87.10
Median
$91.20
Typical High
$91.20
Midlands
Setting
Professional
Modifier
None (both parts)
Typical Low
$134.90
Median
$134.90
Typical High
$181.97

Where South Dakota sits

The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 15th of 51

$155

WI $269CT $37.15

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.