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Total Elbow Replacement

South Dakota rates for HCPCS 24363

Replaces both halves of the elbow joint with an artificial one — a metal stem set into the lower end of the upper arm bone and another into the upper end of the forearm bone, joined where the natural joint used to be. It is used when arthritis or severe damage leaves the elbow painful and stiff despite other treatment. The new joint restores bending and straightening with far less pain.

Rates data updated July 2026.

How much does Total Elbow Replacement cost?

$2,455

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $1,995 to $2,818.

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 $2,512 · 10th to 90th $1,738 to $6,918Professionalmedian $2,455 · 10th to 90th $1,738 to $3,090
$2K$5K$10K$20Kfacility $2,512professional $2,455

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
$1,445.44
Median
$4,365.16
Typical High
$6,918.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,311.31
Typical High
$3,311.31
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$2,818.38
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$35,481.34

Where South Dakota sits

The same service costs 25.7 times more in Indiana than in West Virginia. 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· 47th of 50

$2,455

IN $37,154WV $1,445

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.