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Anesthesia For Procedures Inside The Mouth

South Dakota rates for HCPCS 00170

Anesthesia care for operations carried out inside the mouth, including taking a tissue sample, where no more specific anesthesia service applies. The surgeon's or dentist's work is charged separately.

Rates data updated October 2026.

How much rates vary

Facilitymedian $331 · 10th to 90th $302 to $933Professionalmedian $76 · 10th to 90th $45 to $447
$10$20$50$100$200$500$1Kfacility $331professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$213.80
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$407.38
Medica
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$416.87
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$60.26
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$60.26
Typical High
$83.18
Wellmark
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$234.42
Median
$234.42
Typical High
$257.04
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Cigna
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$416.87
Median
$478.63
Typical High
$524.81