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Complex Cheekbone Fracture Repair With Plates

South Dakota rates for HCPCS 21365

Repairs a badly broken cheekbone through more than one incision, so the bone can be reached from several directions. The pieces are put back into position and held with small plates and screws. This more involved repair is used when the bone is broken into several fragments or the break runs into the openings where nerves pass through the skull.

Rates data updated October 2026.

How much does Complex Cheekbone Fracture Repair With Plates cost?

$4,956

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $4,956 for this procedure. That total is two separate charges: $2,138 to the doctor who performs it, and $2,818 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,138$1,622 to $2,512
Facility feeThe hospital or surgery center$2,818$1,514 to $3,020

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,514 to $4,467Professionalmedian $2,138 · 10th to 90th $1,175 to $3,020
$1K$2K$5K$10Kfacility $2,818professional $2,138

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,096.48
Median
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$977.24
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$2,454.71
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$2,511.89
Typical High
$9,120.11
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Midlands
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$4,897.79
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,454.71
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,621.81
Typical High
$2,137.96
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$2,187.76
Typical High
$3,019.95
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,089.30
Typical High
$2,454.71

Where South Dakota sits

The same service costs 6.7 times more in Vermont 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.

Physician feeFacility fee

South Dakota· 31st of 51

$4,956

$2,138 physician + $2,818 facility

VT $18,681KY $2,795

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.