go back

South Dakota rates for HCPCS 86316

Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each

Facilitymedian $58 · 10th–90th $20–$1350%10%20%10th90th$58Professionalmedian $19 · 10th–90th $13–$1150%20%10th90th$19$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
$20.42 / $97.72 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.05 / $114.82
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $32.36 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.45 / $28.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $50.12 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $18.62 / $36.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89