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Rebuilding The Cheek Arch And Jaw Joint Socket

South Dakota rates for HCPCS 21255

Rebuilds the arch of the cheekbone and the socket of the jaw joint in front of the ear, using grafts of the patient's own bone and cartilage. It is done when the jaw joint has fused solid or the joint surface is missing, leaving the mouth unable to open properly. Creating a new joint surface restores the ability to open the mouth, chew, and speak.

Rates data updated July 2026.

How much does Rebuilding The Cheek Arch And Jaw Joint Socket cost?

$2,399

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $2,291 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$2,399$1,349 to $3,162
FacilityA hospital or hospital-owned outpatient department$2,291$1,905 to $3,467

How much rates vary

Facilitymedian $2,291 · 10th to 90th $1,622 to $4,365Professionalmedian $2,399 · 10th to 90th $1,122 to $3,890
$1.0K$2.0K$5.0K$10.0Kfacility $2,291professional $2,399

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
$1,380.38
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,162.28
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,238.72
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,511.89
Typical High
$10,964.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,235.94
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,090.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$2,570.40
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
$1,318.26
Median
$2,344.23
Typical High
$3,890.45
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,630.27
Typical High
$3,090.30

Where South Dakota sits

The same service costs 5.2 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 $2,399 · 11th of 51
CA $6,918KY $1,318

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.