CPT 83036
Hemoglobin A1c
- Aetna
- Not available
- Cigna
- Not available
- United
- $9.20
- Anthem
- Not available
Endocrinology reimbursement rates in South Dakota
Explore endocrinology reimbursement rates in South Dakota. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.
771,914 national provider-rate observations4 payers in national source data49 states in national dataset20 billing codes in national dataset
Rate data shownJun–Jul 2026About these rates
Endocrinology rate explorerThree reference services
Rate measure$ per reported billing unit
Billing contextProfessional
South Dakota endocrinology reference averages
Publication period: Jun–Jul 2026CPT 99214
Established patient office visit, level 4
- Aetna
- Not available
- Cigna
- $194.16
- United
- $185.63
- Anthem
- Not available
CPT 95251
Continuous glucose monitoring analysis and interpretation
- Aetna
- Not available
- Cigna
- $74.40
- United
- $66.14
- Anthem
- Not available
National endocrinology rates by payer
Use the reference codes to compare payer benchmarks, then explore office visits; glucose monitoring interpretation; laboratory testing; diabetes education. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.
Aetna state variation for 99214
LowerHigher
South Dakota
Select a state to reveal payer percentiles and provider examples.National 99214 rate distribution
PayerMedian
Published rate$ per reported billing unit
$100$125$150$175$200
AetnaJun–Jul 2026
AetnaProviders11,053Average$129.48
$111.64median
CignaJun–Jul 2026
CignaProviders11,204Average$178.60
$159.21median
UnitedJun–Jul 2026
UnitedProviders11,750Average$195
$173.21median
AnthemJun–Jul 2026
AnthemProviders10,758Average$201.10
$167.38median
Each marker shows the national median published rate across billing entities for that payer.
National 99214 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 11,053 | $111.64 | $129.48 | |||
| Cigna | Jun–Jul 2026 | 11,204 | $159.21 | $178.60 | |||
| United | Jun–Jul 2026 | 11,750 | $173.21 | $195 | |||
| Anthem | Jun–Jul 2026 | 10,758 | $167.38 | $201.10 |
About these rates
About this rate table
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for established patient office visit, level 4 (99214).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific endocrinology providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Endocrinology provider benchmarks (CPT 99214)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| MOAZZAM HABIB MD PCNPI 1003077488 · Tax ID 352135010 | IN | 7 | $69.88 | -$41.76 | Below P25 |
| CRISTIAN BRETON, MD,PANPI 1710073648 · Tax ID 650202533 | FL | 1 | $85.55 | -$26.09 | Below P25 |
| KRIS V IYER MD INCNPI 1730207564 · Tax ID 651196165 | CA | 3 | $95.10 | -$16.54 | P25 to median |
| GRUNBERGER DIABETES MEDICAL CENTER PCNPI 1316063274 · Tax ID 371417837 | MI | 6 | $104.04 | -$7.60 | P25 to median |
| TBHC MEDICAL SERVICES PCNPI 1962462390 · Tax ID 112833590 | NY | 119 | Median to P75 | ||
| LAWRENCE MEDICAL ASSOCIATES PCNPI 1053675645 · Tax ID 264076297 | NY | 671 | Above P75 |
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No trial or data preparation required.Explore endocrinology services
Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per reported billing unit · 9 codes | ||||
99214Established patient office visit, level 4 | $129.48 | $178.60 | $195 | $201.10 |
99213Established patient office visit, level 3 | $88.62 | $122.56 | $134.90 | $140.18 |
99204New patient office visit, level 4 | $188.06 | $254.79 | $287.07 | $300.50 |
99215Established patient office visit, level 5 | $182.20 | $253.74 | $265.09 | $278.17 |
99203New patient office visit, level 3 | $121.84 | $164.81 | $189.42 | $196.58 |
99212Established patient office visit, level 2 | $52.78 | $72.86 | $82.77 | $85.13 |
99205New patient office visit, level 5 | $245.22 | $332.32 | $365.88 | $384.65 |
99211Established patient office visit, minimal service | $21.85 | $28.87 | $39.94 | $38.73 |
99202New patient office visit, level 2 | $80.41 | $106.45 | $130.58 | $132.77 |
$ per reported billing unit · 7 codes | ||||
83036Hemoglobin A1c | $13.36 | $19.56 | $9.98 | $18.99 |
80053Comprehensive metabolic panel | $14.29 | $20.79 | $10.76 | $19.92 |
84443Thyroid-stimulating hormone assay | $23.04 | $32.95 | $17.17 | $32.68 |
84439Thyroid Hormone (T4) Test | $12.35 | $20.18 | $9.22 | $17.09 |
80048Basic Metabolic Pnl Total Ca | $11.26 | $16.81 | $8.64 | $16.14 |
84481Thyroid Hormone Test | $22.88 | $33.99 | $17.20 | $31.72 |
82947Quantitative blood glucose assay | $5.25 | $8.35 | $5 | $7.64 |
$ per reported billing unit · 1 code | ||||
95251Continuous glucose monitoring analysis and interpretation | $53.96 | $67.94 | $68.66 | $77.18 |
$ per reported billing unit · 1 code | ||||
76536Ultrasound Of Head And Neck | $158.97 | $206.89 | $201.77 | $258.34 |
$ per reported billing unit · 1 code | ||||
G0108Diabetes outpatient self-management training services | $63.63 | $54.66 | $102.02 | $103.69 |
$ per reported billing unit · 1 code | ||||
99442Telephone Evaluation And Management Service By A Physician Or Other Qualified Health Care Professional Who May Report Evaluation And Management Services Provided To An Established Patient Parent Or Guardian Not Originating From A Related E/M Service Provided Within The Previous7 Days Nor Leading To An E/M Service Or Procedure Within The Next 24 Hours Or Soonest Available 11-20 Minutes Of Medical Discussion (Revised 01/01/13) | Not available | $206.68 | $106.39 | $104.39 |
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Book a 20-min scoping call No trial or data preparation required.How to interpret these benchmarks
Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.
- Source and periodRates come from the specialty's national report. The displayed period follows the processed data included in the latest published snapshot and updates when that snapshot is refreshed.
- Comparable ratesComparisons use positive professional fee-for-service negotiated and fee-schedule dollar amounts. Percentages, bundled arrangements and per-diem rate types are excluded. Modifier cohorts and code-specific amounts remain separate.
- CalculationRates are reduced to one modal value per NPI and TIN entity, averaging tied modes. Two percent per tail is targeted for trimming while keeping boundary ties. Benchmarks require at least 10 included entities and are not weighted by patient volume.
- CoverageNational report coverage does not guarantee every payer or state is available for every code. Anthem represents the displayed Anthem cohort, rather than all regional Blue plans. Missing benchmarks are not zero rates.
- Billing contextMatch the exact code, billing unit, modifier, setting and network. Equipment rentals and supplies require their own interval and quantity checks. Professional rates exclude facility charges; anesthesia conversion factors are outside these comparisons.
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Explore endocrinology rates by state
Choose a state to compare payer reference averages for common services.
Questions about endocrinology benchmarks
How to interpret the selected market and payer-published rates.
What does the national benchmark compare?
The headline uses Established patient office visit, level 4 (99214). The other reference codes and service lines provide separate comparisons rather than combining unlike services.
Why is a payer or state missing?
A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.
Will the reporting period change?
Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.