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Spine Tethering For Curvature, Longer Run

South Dakota rates for HCPCS 0657T

An operation to straighten a curved spine by fixing anchors to the front of the spine bones and running a flexible cord between them. Tightening the cord pulls the curve straighter and lets it keep correcting while the spine is still growing, without locking the bones solid. This version covers a longer run of spine bones.

Rates data updated July 2026.

How much does Spine Tethering For Curvature, Longer Run cost?

$2,188

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,188 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $3,631 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 3 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$2,188$2,089 to $2,512
FacilityA hospital or hospital-owned outpatient department$3,631$2,818 to $4,365

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,995 to $5,623Professionalmedian $2,188 · 10th to 90th $2,042 to $4,677
$2K$5K$10Kfacility $3,631professional $2,188

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
$2,041.74
Median
$2,089.30
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$6,309.57

Where South Dakota sits

The same service costs 5.0 times more in California than in Alabama. 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· 44th of 51

$2,188

CA $10,233AL $2,042

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.