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Rebuilding The Jaw Joint With Own Bone

South Dakota rates for HCPCS 21247

Rebuilding the upper end of the lower jawbone, the part that forms the jaw joint, using bone and cartilage taken from elsewhere on the patient's own body, most often a rib. It is done when that part of the jaw is missing or underdeveloped, often because of a condition present at birth.

Rates data updated July 2026.

How much does Rebuilding The Jaw Joint With Own Bone cost?

$2,818

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,818 from a physician practice, and about $2,692 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$2,818$1,585 to $3,715
FacilityA hospital or hospital-owned outpatient department$2,692$2,291 to $4,074

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,905 to $4,365Professionalmedian $2,818 · 10th to 90th $1,349 to $4,571
$2K$5K$10Kfacility $2,692professional $2,818

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
$1,621.81
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,715.35
Typical High
$4,570.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,630.27
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$12,882.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,715.35
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,388.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$3,090.30
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
$1,548.82
Median
$2,691.53
Typical High
$4,365.16
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,090.30
Typical High
$3,630.78

Where South Dakota sits

The same service costs 4.4 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

$2,818

CA $6,918DE $1,585

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.