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Strengthening A Weakened Bone At The Shoulder

South Dakota rates for HCPCS 23491

Places metal such as a rod, plate, pins, or wires, sometimes together with bone cement, into a weakened bone at the shoulder to support it before it breaks. It is used when a tumor or other disease has eaten into the bone and a fracture looks likely.

Rates data updated October 2026.

How much does Strengthening A Weakened Bone At The Shoulder cost?

$5,278

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

Insurers have agreed to pay about $5,278 for this procedure. That total is two separate charges: $2,042 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$2,042$1,585 to $2,399
Facility feeThe hospital or surgery center$3,236$1,445 to $4,365

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,202 to $7,943Professionalmedian $2,042 · 10th to 90th $1,096 to $2,754
$1K$2K$5K$10Kfacility $3,236professional $2,042

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
$1,000.00
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$5,370.32
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,344.23
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$2,290.87
Typical High
$7,585.78
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$5,370.32
Typical High
$12,882.50
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,187.76
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$1,995.26
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
$1,000.00
Median
$1,949.84
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$2,398.83

Where South Dakota sits

The same service costs 7.2 times more in Alaska 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· 37th of 51

$5,278

$2,042 physician + $3,236 facility

AK $19,657HI $2,734

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.