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Physician Direction Of Ambulance Emergency Care

South Dakota rates for HCPCS 99288

A physician directs an ambulance crew as they provide advanced emergency care to a patient. The direction is given remotely, so there is no face-to-face visit with the patient. The charge is for the physician's guidance of the crew.

Rates data updated July 2026.

How much does Physician Direction Of Ambulance Emergency Care cost?

$123

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $93.33 to $178.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $95 · 10th to 90th $83 to $288Professionalmedian $123 · 10th to 90th $49 to $269
$50$100$200facility $95professional $123

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$95.50
Typical High
$288.40
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$29.51
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$257.04

Where South Dakota sits

The same service costs 5.8 times more in Maine than in Kansas. 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· 4th of 51

$123

ME $269KS $46.77

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.