go back

Midface Advancement With Bone Grafts

South Dakota rates for HCPCS 21154

Reconstructive surgery in which the bones of the midface, including the cheekbones and the upper jaw, are cut free and moved forward as a single unit, with bone grafts placed to fill the gaps this creates. The forehead is not moved, and the tooth-bearing jaw is not separately repositioned.

Rates data updated July 2026.

How much does Midface Advancement With Bone Grafts cost?

$3,715

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $3,311 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$3,715$1,995 to $4,467
FacilityA hospital or hospital-owned outpatient department$3,311$2,951 to $4,467

How much rates vary

Facilitymedian $3,311 · 10th to 90th $2,344 to $4,898Professionalmedian $3,715 · 10th to 90th $1,622 to $5,495
$2K$5K$10Kfacility $3,311professional $3,715

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
$1,949.84
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,949.84
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,235.94
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,467.37
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,466.84
Typical High
$4,466.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,168.69
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,235.94
Typical High
$3,801.89
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
$1,995.26
Median
$3,467.37
Typical High
$5,370.32
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,630.78
Typical High
$4,265.80

Where South Dakota sits

The same service costs 4.3 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· 6th of 51

$3,715

CA $8,318DE $1,950

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.