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South Dakota rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Facilitymedian $28 · 10th–90th $13–$1480%20%10th90th$28Professionalmedian $13 · 10th–90th $9–$350%10%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$12.88 / $61.66 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $22.39
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $14.45 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $22.39 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.00 / $19.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.88 / $19.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45