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Shoulder Cast Supplies, Adult, Fiberglass

South Dakota rates for HCPCS Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Rates data updated July 2026.

How much does Shoulder Cast Supplies, Adult, Fiberglass cost?

$145

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $166 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$138$105 to $178
FacilityA hospital or hospital-owned outpatient department$166$145 to $209

How much rates vary

Facilitymedian $166 · 10th to 90th $105 to $295Professionalmedian $138 · 10th to 90th $98 to $219
$100$200$500facility $166professional $138

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
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$281.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$275.42
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$169.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03

Where South Dakota sits

The same service costs 1.8 times more in Minnesota than in Rhode Island. 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· 3rd of 51

$145

MN $151RI $83.18

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.