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Relese

South Dakota rates for HCPCS Q4257

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

Rates data updated July 2026.

Facilitymedian $912 · 10th–90th $646$1,1480%50%10th90th$912Professionalmedian $912 · 10th–90th $501$1,4130%20%40%10th90th$912$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$676.08
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$776.25
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
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01