go back

Pessary, Reusable, Rubber

South Dakota rates for HCPCS A4561

Pessary, reusable, rubber, any type

Rates data updated July 2026.

How much does Pessary, Reusable, Rubber cost?

$23.99

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $30.20 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$23.99$19.05 to $33.11
FacilityA hospital or hospital-owned outpatient department$30.20$20.89 to $33.11

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $40Professionalmedian $24 · 10th to 90th $11 to $42
$10$20$50$100facility $30professional $24

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
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$19.95
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$41.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$30.90
Typical High
$53.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.50
Typical High
$151.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$31.62
Midlands
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$51.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.79
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$19.95
Typical High
$33.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44

Where South Dakota sits

The same service costs 5.1 times more in Hawaii than in Colorado. 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· 11th of 51

$23.99

HI $64.57CO $12.59

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.