go back

Facet Joint Replacement, Lower Back

South Dakota rates for HCPCS 0202T

The small paired joints at the back of one level of the lower spine are replaced with an implant, after bone and tissue pressing on the nerves has been removed. The aim is to take pressure off the nerves while keeping the segment stable. X-ray imaging is used during the operation, and bone cement may be used to hold the implant.

Rates data updated July 2026.

How much does Facet Joint Replacement, Lower Back cost?

$2,089

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $3,890 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 5 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$2,089$2,042 to $2,754
FacilityA hospital or hospital-owned outpatient department$3,890$2,884 to $5,370

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,291 to $5,623Professionalmedian $2,089 · 10th to 90th $1,995 to $5,248
$2K$5K$10K$20Kfacility $3,890professional $2,089

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. 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
Global
Typical Low
$1,513.56
Median
$4,365.16
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,073.80
Typical High
$4,570.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$4,073.80
Typical High
$15,848.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,090.30
Typical High
$6,165.95

Where South Dakota sits

The same service costs 4.0 times more in California than in Kentucky. 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· 41st of 51

$2,089

CA $6,457KY $1,622

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.