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Chemistry Test For A Specific Substance

South Dakota rates for HCPCS 84285

A laboratory chemistry test that measures how much of one particular substance is present in a sample sent to the lab. It is ordered when the amount of that substance is expected to answer a specific question about a person's health, and the result is read together with the rest of the picture.

Rates data updated July 2026.

How much does Chemistry Test For A Specific Substance cost?

$47.86

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $47.86 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$38.90$19.50 to $60.26
FacilityA hospital or hospital-owned outpatient department$47.86$46.77 to $47.86

How much rates vary

Facilitymedian $48 · 10th to 90th $29 to $48Professionalmedian $39 · 10th to 90th $17 to $65
$10.0$20.0$50.0$100.0facility $48professional $39

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
$17.78
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$36.31
Typical High
$120.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$33.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$22.91
Typical High
$33.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12

Where South Dakota sits

The same service costs 2.5 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $47.86 · 1st of 51
SD $47.86MD $19.05

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.