go back

Urine Porphobilinogen Screen

South Dakota rates for HCPCS 84106

A urine test that checks whether porphobilinogen is present. This substance builds up during an attack of acute porphyria, a rare inherited disorder causing severe abdominal pain, confusion and dark urine. The result is reported simply as present or absent.

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $7$110%50%10th$11Professionalmedian $8 · 10th–90th $4$140%10%10th90th$8$2.0$5.0$10.0$20.0$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.57
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$10.96
Typical High
$13.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$6.76
Typical High
$28.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.02
Typical High
$6.46
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$12.02
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.47
Typical High
$7.41
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75