go back

AlloSkin RT

South Dakota rates for HCPCS Q4123

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

Rates data updated July 2026.

How much does AlloSkin RT cost?

$70.79

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $70.79 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$70.79$67.61 to $70.79
FacilityA hospital or hospital-owned outpatient department$70.79$70.79 to $102

How much rates vary

Facilitymedian $71 · 10th to 90th $65 to $123Professionalmedian $71 · 10th to 90th $38 to $126
$20.0$50.0$100.0$200.0facility $71professional $71

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
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$51.29
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Midlands
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$169.82
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$69.18
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79

Where South Dakota sits

The same service costs 1.9 times more in Alaska than in Massachusetts. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $70.79 · 46th of 51
AK $132MA $70.79

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.