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Adenosine Injection, 1 mg

South Dakota rates for HCPCS J0153

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

Rates data updated July 2026.

How much does Adenosine Injection, 1 mg cost?

$0.49

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $0.49 for this service. The price depends on where it is billed: about $0.49 from a physician practice, and about $2.40 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$0.49$0.48 to $0.52
FacilityA hospital or hospital-owned outpatient department$2.40$0.48 to $23.99

How much rates vary

Facilitymedian $2 · 10th to 90th $0 to $28Professionalmedian $0 · 10th to 90th $0 to $1
$0.5$1$2$5$10$20facility $2professional $0

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$4.17
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.47
Median
$0.48
Typical High
$0.55
Avera
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.39
Typical High
$0.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.49
Median
$0.49
Typical High
$0.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.78
Typical High
$2.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.39
Median
$0.46
Typical High
$0.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
United
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.52
Typical High
$0.58
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$0.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$0.48
Median
$0.48
Typical High
$0.48

Where South Dakota sits

The same service costs 9.1 times more in Utah than in North Dakota. 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· 49th of 51

$0.49

UT $4.37ND $0.48

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.