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Application Of Skull Tongs Or Head Frame

South Dakota rates for HCPCS 20660

Attaches tongs or a frame to the skull to hold the head and neck steady. Removing the device later is part of this same service. It is provided on its own, not together with a related operation.

Rates data updated October 2026.

How much does Application Of Skull Tongs Or Head Frame cost?

$1,226

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

Insurers have agreed to pay about $1,226 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $759 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$468$339 to $550
Facility feeThe hospital or surgery center$759$316 to $1,175

How much rates vary

Facilitymedian $759 · 10th to 90th $316 to $1,698Professionalmedian $468 · 10th to 90th $240 to $631
$200$500$1K$2Kfacility $759professional $468

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$218.78
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$398.11
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$512.86
Typical High
$645.65
Medica
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$316.23
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$537.03
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$512.86
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$363.08
Typical High
$467.74
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$891.25
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$457.09
Typical High
$630.96
Wellmark
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$467.74
Typical High
$549.54

Where South Dakota sits

The same service costs 6.2 times more in Colorado 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· 44th of 51

$1,226

$468 physician + $759 facility

CO $4,689MT $752

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.