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Xenon Xe-133 Gas, Diagnostic

South Dakota rates for HCPCS A9558

Xenon Xe-133 gas, diagnostic, per 10 mCi

Rates data updated July 2026.

How much does Xenon Xe-133 Gas, Diagnostic cost?

$316

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $316 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 8 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$316$269 to $324
FacilityA hospital or hospital-owned outpatient department$316$309 to $347

How much rates vary

Facilitymedian $316 · 10th to 90th $251 to $468Professionalmedian $316 · 10th to 90th $263 to $398
$50$100$200$500facility $316professional $316

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
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$316.23
Avera
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$316.23
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$398.11
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03

Where South Dakota sits

The same service costs 20.4 times more in Alaska than in Hawaii. 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· 2nd of 51

$316

AK $427HI $20.89

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.