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Red Cell Protoporphyrin Screen

South Dakota rates for HCPCS 84203

A screening test on red blood cells for protoporphyrin, a building block that piles up when the body cannot complete the final step of making hemoglobin. Raised levels point towards iron deficiency or lead exposure. It gives a screening answer rather than a precise measurement.

Rates data updated July 2026.

How much does Red Cell Protoporphyrin Screen cost?

$15.85

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $18.62 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$13.80$7.59 to $22.91
FacilityA hospital or hospital-owned outpatient department$18.62$17.78 to $18.62

How much rates vary

Facilitymedian $19 · 10th to 90th $11 to $19Professionalmedian $14 · 10th to 90th $6 to $23
$5$10$20$50$100facility $19professional $14

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
$6.76
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$23.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$13.49
Typical High
$32.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$12.02
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$22.91
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.71
Typical High
$12.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77

Where South Dakota sits

The same service costs 2.2 times more in South Dakota than in Maryland. 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· 1st of 51

$15.85

SD $15.85MD $7.24

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.