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Hepatitis C Liver Scarring Blood Panel

South Dakota rates for HCPCS 81596

Several substances measured in one blood sample are combined by a formula into scores that estimate how much scarring and inflammation is present in the liver of someone with long-standing hepatitis C. It gives a picture of liver damage without taking a tissue sample. The result helps guide how urgently treatment and monitoring are needed.

Rates data updated July 2026.

How much does Hepatitis C Liver Scarring Blood Panel cost?

$138

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $195 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$72.44$52.48 to $145
FacilityA hospital or hospital-owned outpatient department$195$138 to $263

How much rates vary

Facilitymedian $195 · 10th to 90th $138 to $263Professionalmedian $72 · 10th to 90th $48 to $174
$50.0$100.0$200.0facility $195professional $72

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
$194.98
Median
$204.17
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$87.10
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$43.65
Typical High
$95.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44

Where South Dakota sits

The same service costs 4.5 times more in West Virginia than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $138 · 3rd of 51
WV $224FL $50.12

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.