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NeoPatch or Therion

South Dakota rates for HCPCS Q4176

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

Rates data updated July 2026.

How much does NeoPatch or Therion cost?

$162

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $162 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$155$148 to $162
FacilityA hospital or hospital-owned outpatient department$162$162 to $200

How much rates vary

Facilitymedian $162 · 10th to 90th $151 to $263Professionalmedian $155 · 10th to 90th $117 to $191
$100$200$500facility $162professional $155

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
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$162.18
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$245.47
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
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
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where South Dakota sits

The same service costs 1.6 times more in Alaska than in Massachusetts. 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

$162

AK $204MA $126

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.