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Medicated Implant Placed Inside A Joint

South Dakota rates for HCPCS 20704

Covers hand-mixing and shaping an implant that releases medication, commonly antibiotic-loaded cement formed into beads or a spacer, and placing it inside a joint during an operation so the drug is delivered straight to the tissue that needs it. The implant is temporary and is removed or exchanged at a later operation. It is billed in addition to the main procedure.

Rates data updated October 2026.

How much does Medicated Implant Placed Inside A Joint cost?

$522

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

Insurers have agreed to pay about $522 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $191 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$331$269 to $380
Facility feeThe hospital or surgery center$191$126 to $224

How much rates vary

Facilitymedian $191 · 10th to 90th $126 to $331Professionalmedian $331 · 10th to 90th $170 to $398
$200$500$1K$2Kfacility $191professional $331

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
$144.54
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$331.13
Typical High
$416.87
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$223.87
Medica
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$338.84
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Midlands
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$257.04
Typical High
$288.40
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$281.84
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$331.13
Typical High
$398.11

Where South Dakota sits

The same service costs 12.0 times more in Utah than in Florida. 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· 39th of 51

$522

$331 physician + $191 facility

UT $3,137FL $261

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.