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South Dakota rates for HCPCS 80506

Pathology clinical consultation; prolonged service, each additional 30 minutes (List separately in addition to code for primary procedure)

Professionalmedian $39 · 10th–90th $32–$830%20%10th90th$39$50.0$100.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $64.57 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $79.43 / $269.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $83.18 / $83.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $77.62 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $26.30 / $91.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $91.20 / $93.33