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TRAM Flap Breast Reconstruction With Microsurgery

South Dakota rates for HCPCS 19368

Rebuilding of a breast using skin, fat and muscle brought up from the lower abdomen while still attached to its original blood supply. Under a microscope, the surgeon also joins small blood vessels in the transferred tissue to vessels near the chest so the flap receives extra circulation. The abdominal area the tissue came from is closed during the same operation.

Rates data updated July 2026.

How much does TRAM Flap Breast Reconstruction With Microsurgery cost?

$3,802

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $4,365 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 7 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$3,715$2,344 to $4,898
FacilityA hospital or hospital-owned outpatient department$4,365$2,951 to $4,467

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,570 to $5,495Professionalmedian $3,715 · 10th to 90th $1,778 to $6,166
$2K$5Kfacility $4,365professional $3,715

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
$2,187.76
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,897.79
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,467.37
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,890.45
Typical High
$24,547.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,786.30
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,715.35
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$4,265.80
Typical High
$6,025.60
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,168.69
Typical High
$4,365.16

Where South Dakota sits

The same service costs 4.1 times more in California than in Delaware. 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· 12th of 51

$3,802

CA $8,128DE $1,995

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.