go back

South Dakota rates for HCPCS 19303

Mastectomy, simple, complete

Facilitymedian $6,761 · 10th–90th $1,175$15,8490%10%10th90th$6,761Professionalmedian $1,549 · 10th–90th $363$1,8620%10%20%10th90th$1,549$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $5,754.40 / $15,848.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,174.90 / $7,244.36 / $21,379.62
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,862.09 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,513.56 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,348.96 / $2,951.21 / $5,754.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,137.96 / $2,137.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,659.59 / $1,862.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $13,489.63