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Biologic Implant To Reinforce Soft Tissue

South Dakota rates for HCPCS 15777

Places a sheet of processed biologic material — donor tissue with the cells stripped out, leaving a natural supportive scaffold — to strengthen and support soft tissue during a reconstruction. The body gradually grows into the scaffold, adding thickness and support where the patient's own tissue is thin or weak. It is billed in addition to the main reconstruction.

Rates data updated October 2026.

How much does Biologic Implant To Reinforce Soft Tissue cost?

$668

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

Insurers have agreed to pay about $668 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $251 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$339 to $490
Facility feeThe hospital or surgery center$251$126 to $372

How much rates vary

Facilitymedian $251 · 10th to 90th $126 to $1,023Professionalmedian $417 · 10th to 90th $200 to $589
$200$500$1K$2Kfacility $251professional $417

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
$213.80
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$199.53
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$371.54
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$478.63
Typical High
$602.56
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$257.04
Typical High
$562.34
Medica
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$436.52
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$489.78
Typical High
$489.78
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$354.81
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$416.87
Typical High
$588.84
Wellmark
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$416.87
Typical High
$512.86

Where South Dakota sits

The same service costs 9.8 times more in Michigan than in Maryland. 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· 43rd of 51

$668

$417 physician + $251 facility

MI $4,160MD $423

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.