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Surgical Exploration Of A Spinal Fusion

South Dakota rates for HCPCS 22830

Reopens a previously fused part of the spine so the surgeon can look directly at the fusion and any hardware and see whether the bones have knitted together. It is done when ongoing pain or unclear imaging suggests the fusion has not solidified. What is found determines whether further repair is needed.

Rates data updated October 2026.

How much does Surgical Exploration Of A Spinal Fusion cost?

$4,896

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

Insurers have agreed to pay about $4,896 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $3,236 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$1,660$1,259 to $2,042
Facility feeThe hospital or surgery center$3,236$1,148 to $3,467

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,148 to $4,365Professionalmedian $1,660 · 10th to 90th $813 to $2,188
$1K$2K$5K$10Kfacility $3,236professional $1,660

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
$794.33
Median
$794.33
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$794.33
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,819.70
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,819.70
Typical High
$14,454.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Midlands
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,737.80
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,548.82
Typical High
$2,187.76
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$2,041.74

Where South Dakota sits

The same service costs 8.5 times more in Alaska than in Texas. 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· 33rd of 51

$4,896

$1,660 physician + $3,236 facility

AK $14,870TX $1,748

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.