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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 October 2026.

How much does Red Cell Protoporphyrin Screen cost?

$11.22

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $13.49 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.22$6.46 to $18.62
FacilityA hospital or hospital-owned outpatient department$13.49$10.96 to $18.62

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $29Professionalmedian $11 · 10th to 90th $4 to $23
$5$10$20$50$100facility $13professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$10.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$6.46
Typical High
$9.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$18.62
Typical High
$23.44
Medica
Setting
Facility
Modifier
None
Typical Low
$9.33
Median
$10.96
Typical High
$32.36
Medica
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$8.71
Typical High
$12.02
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$13.18
Median
$19.95
Typical High
$26.92
United
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$5.89
Typical High
$11.75
Wellmark
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$9.77
Typical High
$9.77

Where South Dakota sits

The same service costs 3.6 times more in Kansas than in New Jersey. 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· 17th of 51

$11.22

KS $24.55NJ $6.76

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.