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Removing Part of a Spinal Bone, Extra Level

South Dakota rates for HCPCS 22103

Removes part of the back portion of a further spinal bone - the ridge you can feel along the midline, the bony arch, or a joint surface - because of an abnormality within the bone itself. Taking out the affected part treats the problem and relieves pressure on nearby structures. It is billed in addition to the main procedure for each extra level treated.

Rates data updated October 2026.

How much does Removing Part of a Spinal Bone, Extra Level cost?

$451

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

Insurers have agreed to pay about $451 for this procedure. That total is two separate charges: $269 to the doctor who performs it, and $182 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$214 to $309
Facility feeThe hospital or surgery center$182$126 to $229

How much rates vary

Facilitymedian $182 · 10th to 90th $126 to $3,467Professionalmedian $269 · 10th to 90th $148 to $372
$100$200$500$1K$2Kfacility $182professional $269

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
$134.90
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$141.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$229.09
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$288.40
Typical High
$363.08
Medica
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$181.97
Typical High
$295.12
Medica
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$309.03
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Midlands
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Midlands
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$302.00
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$275.42
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$269.15
Typical High
$371.54
Wellmark
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$251.19
Typical High
$295.12

Where South Dakota sits

The same service costs 24.2 times more in Alabama 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.

Physician feeFacility fee

South Dakota· 45th of 51

$451

$269 physician + $182 facility

AL $6,927DE $286

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.