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Insertion Tray without Drainage Bag, Silicone Foley Catheter

South Dakota rates for HCPCS A4312

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way, all silicone

Rates data updated October 2026.

How much does Insertion Tray without Drainage Bag, Silicone Foley Catheter cost?

$20.42

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $20.42 from a physician practice, and about $25.70 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.42$16.22 to $27.54
FacilityA hospital or hospital-owned outpatient department$25.70$17.38 to $28.18

How much rates vary

Facilitymedian $26 · 10th to 90th $17 to $42Professionalmedian $20 · 10th to 90th $11 to $30
$10$20$50$100facility $26professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$19.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$28.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$29.51
Typical High
$36.31
Medica
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$25.70
Typical High
$41.69
Medica
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$14.45
Typical High
$144.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$27.54
Typical High
$28.18
Midlands
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$39.81
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$22.39
Typical High
$26.30
United
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$11.75
Typical High
$18.62
Wellmark
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$20.42
Typical High
$20.42

Where South Dakota sits

The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 13th of 51

$20.42

HI $37.15CT $10.72

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.