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D-Dimer Blood Clot Screening Test

South Dakota rates for HCPCS 85378

This is a blood test that measures a substance released into the bloodstream when a blood clot starts to break down. It is commonly used to help rule out conditions such as a blood clot in the leg or lungs when the result comes back low, giving a straightforward positive or negative type reading.

Rates data updated July 2026.

How much does D-Dimer Blood Clot Screening Test cost?

$14.45

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $11.75 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 7 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$11.75$7.59 to $19.50
FacilityA hospital or hospital-owned outpatient department$18.62$10.96 to $18.62

How much rates vary

Facilitymedian $19 · 10th to 90th $10 to $115Professionalmedian $12 · 10th to 90th $6 to $23
$5$10$20$50$100$200facility $19professional $12

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
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$9.33
Avera
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$9.77
Typical High
$14.45
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
$10.96
Typical High
$38.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$11.75
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.95
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
$12.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77

Where South Dakota sits

The same service costs 3.8 times more in Nebraska than in Connecticut. 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· 5th of 51

$14.45

NE $25.70CT $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.