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Open Repair Of Loose Shoulder At The Back

South Dakota rates for HCPCS 23465

Open surgery to tighten the stretched capsule and ligaments at the back of the shoulder joint so the ball stops sliding backward out of its socket. The surgeon reaches the joint through an incision, overlaps or reattaches the loosened tissue, and may add a small block of bone to build up a worn rim. It is done for repeated dislocations or a persistent feeling that the shoulder is giving way.

Rates data updated October 2026.

How much does Open Repair Of Loose Shoulder At The Back cost?

$5,057

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

Insurers have agreed to pay about $5,057 for this procedure. That total is two separate charges: $2,239 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$2,239$1,738 to $2,630
Facility feeThe hospital or surgery center$2,818$1,585 to $4,074

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,380 to $5,370Professionalmedian $2,239 · 10th to 90th $1,175 to $3,090
$1K$2K$5Kfacility $2,818professional $2,239

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
$933.25
Median
$933.25
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$4,073.80
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,511.89
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,570.40
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$2,511.89
Typical High
$8,317.64
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
$1,380.38
Median
$4,677.35
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,454.71
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$2,187.76
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
$1,096.48
Median
$2,137.96
Typical High
$3,090.30
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,238.72
Typical High
$2,630.27

Where South Dakota sits

The same service costs 4.2 times more in Colorado than in Hawaii. 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· 32nd of 51

$5,057

$2,239 physician + $2,818 facility

CO $14,431HI $3,454

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.