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South Dakota rates for HCPCS 86161

Complement; functional activity, each component

Facilitymedian $23 · 10th–90th $11–$2510%20%40%10th90th$23Professionalmedian $11 · 10th–90th $8–$280%50%10th90th$11$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $13.80 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $18.62 / $74.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.94 / $16.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.84 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.72 / $16.60
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02