go back

Closed Treatment of a Broken Breastbone

South Dakota rates for HCPCS 21820

Nonsurgical management of a fractured breastbone (sternum), typically involving pain control, activity modification, and monitoring rather than an operation to realign the bone. Most sternum fractures are treated this way because the bone is naturally held in place by the rib cage and surrounding cartilage. Imaging may be used to confirm the fracture and check for injury to the heart or lungs, but no incision or surgical fixation is performed.

Rates data updated July 2026.

How much does Closed Treatment of a Broken Breastbone cost?

$520

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

Insurers have agreed to pay about $520 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $251 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$269$155 to $331
Facility feeThe hospital or surgery center$251$219 to $363

How much rates vary

Facilitymedian $251 · 10th to 90th $186 to $2,291Professionalmedian $269 · 10th to 90th $132 to $398
$200$500$1K$2Kfacility $251professional $269

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$239.88
Typical High
$363.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$1,148.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$302.00
Typical High
$316.23
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$371.54
Typical High
$457.09

Where South Dakota sits

The same service costs 19.2 times more in New Jersey than in Maryland. 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· 41st of 50

$520

$269 physician + $251 facility

NJ $5,525MD $287

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.