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Donor Bone Graft Replacing A Full Bone Segment

South Dakota rates for HCPCS 20934

Placement of a piece of donor bone to replace an entire segment of a bone shaft that has been removed, often after a bone tumor is taken out. The graft is measured, cut to shape and joined at both ends to the remaining bone with plates, screws or rods.

Rates data updated July 2026.

How much does Donor Bone Graft Replacing A Full Bone Segment cost?

$1,349

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $1,202 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$1,380$724 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,202$1,023 to $2,291

How much rates vary

Facilitymedian $1,202 · 10th to 90th $813 to $4,365Professionalmedian $1,380 · 10th to 90th $603 to $2,089
$1.0K$2.0K$5.0Kfacility $1,202professional $1,380

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
$707.95
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,288.25
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,949.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$1,659.59

Where South Dakota sits

The same service costs 10.2 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $1,349 · 8th of 51
CA $6,918KY $676

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.