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Living Bone Graft Taken From The Hip

South Dakota rates for HCPCS 20956

A piece of bone is taken from the rim of the hip with its own blood vessels still attached and transferred to rebuild missing bone elsewhere in the body. The vessels are stitched to vessels at the new site under a microscope, so the graft arrives alive rather than as dead bone that must be gradually replaced.

Rates data updated July 2026.

How much does Living Bone Graft Taken From The Hip cost?

$4,571

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,677 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$4,677$2,692 to $5,888
FacilityA hospital or hospital-owned outpatient department$4,365$3,981 to $5,370

How much rates vary

Facilitymedian $4,365 · 10th to 90th $3,090 to $6,026Professionalmedian $4,677 · 10th to 90th $2,138 to $7,413
$2K$5K$10Kfacility $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
$2,630.27
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,888.44
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$4,265.80
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$4,786.30
Typical High
$19,054.61
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,025.60
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,754.40
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,365.16
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,466.84
Typical High
$7,244.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,128.61
Typical High
$6,025.60

Where South Dakota sits

The same service costs 2.7 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· 10th of 51

$4,571

CA $7,079DE $2,630

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.