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Extra Vertebra Treated For A Bone Lesion

South Dakota rates for HCPCS 22116

Covers each further vertebra treated beyond the first when part of the body of a vertebra is removed to clear a lesion growing within the bone itself. Working at more than one level allows a problem spanning neighboring vertebrae to be dealt with in a single operation. It is billed in addition to the first vertebra treated.

Rates data updated July 2026.

How much does Extra Vertebra Treated For A Bone Lesion cost?

$245

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $191 to $275.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $257 · 10th to 90th $158 to $4,365Professionalmedian $245 · 10th to 90th $170 to $302
$200$500$1K$2Kfacility $257professional $245

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
$134.90
Median
$2,290.87
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$309.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83

Where South Dakota sits

The same service costs 75.9 times more in Indiana than in North Dakota. 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· 43rd of 49

$245

IN $10,233ND $135

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.