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Hepatitis B Screening, High-Risk Nonpregnant Individual

South Dakota rates for HCPCS G0499

Hepatitis B screening in nonpregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core antigen (anti-HBC), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive HBSAG result

Rates data updated July 2026.

How much does Hepatitis B Screening, High-Risk Nonpregnant Individual cost?

$32.36

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $33.88 from a physician practice, and about $32.36 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$33.88$29.51 to $42.66
FacilityA hospital or hospital-owned outpatient department$32.36$32.36 to $32.36

How much rates vary

Facilitymedian $32 · 10th to 90th $27 to $52Professionalmedian $34 · 10th to 90th $26 to $68
$20$50$100facility $32professional $34

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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$36.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$32.36
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$17.78
Typical High
$34.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$17.78
Typical High
$37.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18

Where South Dakota sits

The same service costs 4.7 times more in Delaware than in Georgia. 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· 16th of 51

$32.36

DE $87.10GA $18.62

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.