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Forehead and Eye Socket Bone Reconstruction

South Dakota rates for HCPCS 21175

This surgery reconstructs the bones of the forehead and the upper rims of the eye sockets, repositioning or rebuilding them to correct an abnormal shape, sometimes using bone grafts. It's typically performed to correct a skull or facial bone difference present since birth, or to rebuild the area after significant trauma. This is a major reconstructive operation usually performed by a specialized surgical team.

Rates data updated July 2026.

How much does Forehead and Eye Socket Bone Reconstruction cost?

$3,890

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $3,802 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$3,890$2,188 to $4,898
FacilityA hospital or hospital-owned outpatient department$3,802$3,311 to $4,898

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,630 to $5,012Professionalmedian $3,890 · 10th to 90th $1,820 to $6,310
$2K$5K$10Kfacility $3,802professional $3,890

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
$2,238.72
Median
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,187.76
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$6,309.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,630.78
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,981.07
Typical High
$19,498.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,011.87
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,677.35
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,630.78
Typical High
$4,265.80
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
$3,630.78
Typical High
$6,025.60
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,168.69
Typical High
$4,897.79

Where South Dakota sits

The same service costs 2.8 times more in Wisconsin than in Kentucky. 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

$3,890

WI $6,026KY $2,138

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.