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Forehead Reduction With Implant Or Bone Graft

South Dakota rates for HCPCS 21138

Reshapes a prominent or uneven forehead by shaving and contouring the bone, then adding an implant material or a piece of the patient's own bone to smooth and even out the result. It is used for a heavy brow ridge or a forehead contour that stands out, whether from natural shape, an old injury, or a bone condition. The incision is usually hidden behind the hairline.

Rates data updated July 2026.

How much does Forehead Reduction With Implant Or Bone Graft cost?

$1,549

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $1,585 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$1,549$912 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,585$1,288 to $3,548

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,096 to $4,365Professionalmedian $1,549 · 10th to 90th $759 to $2,630
$1.0K$2.0K$5.0K$10.0Kfacility $1,585professional $1,549

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
$912.01
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,659.59
Typical High
$8,317.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,041.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,548.82
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,778.28
Typical High
$2,089.30

Where South Dakota sits

The same service costs 7.1 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 $1,549 · 11th of 51
CA $6,310KY $891

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.