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PalinGen or PalinGen XPlus

South Dakota rates for HCPCS Q4173

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

Rates data updated July 2026.

How much does PalinGen or PalinGen XPlus cost?

$355

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $347 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$355$347 to $437
FacilityA hospital or hospital-owned outpatient department$347$347 to $603

How much rates vary

Facilitymedian $347 · 10th to 90th $347 to $617Professionalmedian $355 · 10th to 90th $339 to $977
$200$500$1K$2Kfacility $347professional $355

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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$489.78
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$354.81
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$436.52
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74

Where South Dakota sits

The same service costs 1.6 times more in Montana than in Minnesota. 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· 10th of 51

$355

MT $380MN $234

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.