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Gene Panel For Seizure Disorders

South Dakota rates for HCPCS 81419

Reads a set of genes known to be involved in seizure disorders, looking for a change that explains why seizures are happening. It is used mainly when seizures start early in life or do not settle with the usual medicines, since the genetic cause can point toward treatments that work better for that particular form.

Rates data updated July 2026.

How much does Gene Panel For Seizure Disorders cost?

$3,890

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $4,677 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,951$1,905 to $5,754
FacilityA hospital or hospital-owned outpatient department$4,677$4,677 to $4,677

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,754 to $4,677Professionalmedian $2,951 · 10th to 90th $1,622 to $5,888
$1K$2K$5Kfacility $4,677professional $2,951

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,677.35
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$12,302.69
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$3,235.94
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71

Where South Dakota sits

The same service costs 3.4 times more in Alaska than in Delaware. 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· 2nd of 51

$3,890

AK $5,495DE $1,622

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.