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Mid-Face Reconstruction

South Dakota rates for HCPCS 21146

This service surgically repositions the bones of the mid-face - the area around the upper jaw and cheekbones - through a planned, non-emergency operation that realigns the bone structure and secures it in place. It is used for a more extensive repositioning than the most basic version of this same procedure, and is a planned reconstructive procedure rather than treatment for a new injury.

Rates data updated July 2026.

How much does Mid-Face Reconstruction cost?

$2,692

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $2,754 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$2,692$1,622 to $3,631
FacilityA hospital or hospital-owned outpatient department$2,754$2,291 to $4,365

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,950 to $4,467Professionalmedian $2,692 · 10th to 90th $1,380 to $4,677
$2.0K$5.0K$10.0Kfacility $2,754professional $2,692

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
$1,659.59
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$3,019.95
Typical High
$14,454.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,801.89
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,715.35
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,691.53
Typical High
$3,162.28
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
$1,479.11
Median
$2,951.21
Typical High
$4,570.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,162.28
Typical High
$3,715.35

Where South Dakota sits

The same service costs 4.6 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 $2,692 · 12th of 51
CA $7,079KY $1,549

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.