go back

South Dakota rates for HCPCS G0452

Molecular pathology procedure; physician interpretation and report

Facilitymedian $47 · 10th–90th $6$720%50%10th90th$47Professionalmedian $51 · 10th–90th $20$870%10%20%10th90th$51$10.0$20.0$50.0$100.0$200.0

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
$5.89 / $48.98 / $48.98
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $48.98 / $72.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $46.77 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $67.61
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $75.86 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $302.00
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $33.11 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $30.20 / $66.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $83.18 / $102.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $74.13 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $37.15 / $109.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $38.90 / $102.33
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $107.15
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $97.72 / $100.00