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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 October 2026.

How much does Total Elbow Replacement cost?

$6,799

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

Insurers have agreed to pay about $6,799 for this procedure. That total is two separate charges: $2,818 to the doctor who performs it, and $3,981 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$2,818$2,344 to $3,311
Facility feeThe hospital or surgery center$3,981$2,042 to $6,607

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,950 to $18,197Professionalmedian $2,818 · 10th to 90th $1,549 to $3,981
$2K$5K$10K$20Kfacility $3,981professional $2,818

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
$1,445.44
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$12,882.50
Typical High
$18,620.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$3,311.31
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$3,311.31
Typical High
$11,220.18
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$12,882.50
Typical High
$22,387.21
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,162.28
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,398.83
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,786.30
United
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$2,818.38
Typical High
$3,981.07
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$2,818.38
Typical High
$3,311.31

Where South Dakota sits

The same service costs 6.6 times more in Alaska than in Montana. 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· 42nd of 51

$6,799

$2,818 physician + $3,981 facility

AK $29,877MT $4,530

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.