go back

South Dakota rates for HCPCS 83789

Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen

Facilitymedian $76 · 10th–90th $25–$4470%10%10th90th$76Professionalmedian $25 · 10th–90th $16–$2400%20%10th90th$25$10.0$20.0$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
$27.54 / $162.18 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $275.42
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $24.55 / $36.31
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $24.55 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $27.54 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $28.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $48.98 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $21.88 / $31.62
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99