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South Dakota rates for HCPCS 81401

Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat)

Facilitymedian $263 · 10th–90th $129–$2630%50%10th$263Professionalmedian $200 · 10th–90th $45–$3310%10%20%10th90th$200$50.0$100.0$200.0$500.0

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
$128.82 / $128.82 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $128.82 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $263.03 / $331.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $154.88 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $691.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $323.59 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $81.28 / $181.97
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04