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Removal Of Damaged Tissue Beneath The Skin

South Dakota rates for HCPCS 11042

This is a procedure to remove dead, damaged, or infected tissue from just beneath the skin's surface, in the fatty layer under the skin, to help a wound heal properly. It covers a defined smaller area of tissue treated during the procedure.

Rates data updated July 2026.

How much does Removal Of Damaged Tissue Beneath The Skin cost?

$861

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $861 for this procedure. That total is two separate charges: $85.11 to the doctor who performs it, and $776 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$85.11$56.23 to $263
Facility feeThe hospital or surgery center$776$347 to $977

How much rates vary

Facilitymedian $776 · 10th to 90th $245 to $1,413Professionalmedian $85 · 10th to 90th $49 to $324
$50$100$200$500$1K$2K$5Kfacility $776professional $85

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$776.25
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$323.59
Avera
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$120.23
Typical High
$478.63
Avera
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$158.49
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$245.47
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$275.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$229.09
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$151.36
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$147.91
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$302.00

Where South Dakota sits

The same service costs 17.0 times more in California than in Montana. 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.

Physician feeFacility fee

South Dakota· 36th of 51

$861

$85.11 physician + $776 facility

CA $5,220MT $307

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.