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South Dakota rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Facilitymedian $98 · 10th–90th $25–$2090%5%10%10th90th$98Professionalmedian $23 · 10th–90th $15–$1000%10%20%10th90th$23$10.0$20.0$50.0$100.0$200.0$500.0

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
$25.12 / $97.72 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $100.00
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $19.50 / $28.84
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $27.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $69.18 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.88 / $25.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $46.77 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $17.38 / $25.70
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50