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TheraSkin

South Dakota rates for HCPCS Q4121

TheraSkin, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does TheraSkin cost?

$53.70

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $52.48 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$52.48 to $67.61
FacilityA hospital or hospital-owned outpatient department$52.48$52.48 to $70.79

How much rates vary

Facilitymedian $52 · 10th to 90th $52 to $83Professionalmedian $55 · 10th to 90th $49 to $126
$50$100$200facility $52professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$70.79
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$58.88
Typical High
$67.61
Medica
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$83.18
Typical High
$83.18
Medica
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$48.98
Typical High
$112.20
Midlands
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Midlands
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$58.88
Typical High
$204.17
Midlands
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$97.72
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$141.25
Wellmark
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Wellmark
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48

Where South Dakota sits

The same service costs 2.8 times more in Utah than in North Carolina. 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· 43rd of 51

$53.70

UT $126NC $45.71

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.