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Synthetic Mesh Reinforcement Of The Abdominal Wall

South Dakota rates for HCPCS 0437T

Places a sheet of synthetic mesh to strengthen the tough tissue layer of the abdominal wall. It is performed alongside a primary operation and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

How much does Synthetic Mesh Reinforcement Of The Abdominal Wall cost?

$309

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $457 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 6 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$309$269 to $380
FacilityA hospital or hospital-owned outpatient department$457$245 to $2,291

How much rates vary

Facilitymedian $457 · 10th to 90th $66 to $4,365Professionalmedian $309 · 10th to 90th $245 to $490
$50$100$200$500$1K$2Kfacility $457professional $309

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
$380.19
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$269.15
Typical High
$275.42
Avera
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$363.08
Typical High
$676.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$758.58

Where South Dakota sits

The same service costs 6.9 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· 27th of 51

$309

CA $1,778KY $257

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.