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Breast Reconstruction With a Free Tissue Flap

South Dakota rates for HCPCS 19364

Rebuilds the shape of a breast using the patient's own skin, fat and sometimes muscle taken from another part of the body, most often the lower abdomen. The tissue is completely detached along with its blood vessels and moved to the chest, where those vessels are reconnected under a microscope so the tissue stays alive. No artificial implant is needed.

Rates data updated July 2026.

How much does Breast Reconstruction With a Free Tissue Flap cost?

$4,677

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $4,677 for this service. Most negotiated rates run $3,802 to $5,248.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $3,162 to $6,918Professionalmedian $4,677 · 10th to 90th $3,236 to $5,623
$5Kfacility $4,365professional $4,677

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
$2,754.23
Median
$4,365.16
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$6,025.60
Typical High
$6,309.57
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,677.35
Typical High
$5,248.07
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84

Where South Dakota sits

The same service costs 11.0 times more in Maine than in Mississippi. 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· 34th of 50

$4,677

ME $25,119MS $2,291

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.