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Specialized Protein Pattern Test

South Dakota rates for HCPCS 86335

This laboratory test separates and analyzes different proteins in a body fluid sample, such as urine or cerebrospinal fluid, using an electrical field and a specialized electrophoresis technique to produce a detailed pattern showing the types and relative amounts of specific proteins present. It is a more advanced technique than a basic protein separation test and is used to investigate certain immune or protein-related conditions.

Rates data updated July 2026.

How much does Specialized Protein Pattern Test cost?

$69.18

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $186 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$60.26$29.51 to $100
FacilityA hospital or hospital-owned outpatient department$186$56.23 to $245

How much rates vary

Facilitymedian $186 · 10th to 90th $33 to $245Professionalmedian $60 · 10th to 90th $23 to $200
$20.0$50.0$100.0$200.0facility $186professional $60

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
$43.65
Median
$186.21
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$100.00
Typical High
$199.53
Avera
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$56.23
Typical High
$70.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$46.77
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.42
Typical High
$40.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$29.51
Typical High
$53.70
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51

Where South Dakota sits

The same service costs 3.0 times more in Nebraska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $69.18 · 3rd of 51
NE $75.86DC $25.70

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.