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Open Wrist Exploration

South Dakota rates for HCPCS 25101

Opens the wrist joint through an incision so the surgeon can look directly inside it, take a sample of tissue if needed, and remove any loose fragments or foreign material. It is used when the cause of pain, swelling or catching is not clear from scans, or when something has to be taken out of the joint.

Rates data updated July 2026.

How much does Open Wrist Exploration cost?

$692

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $692 for this service. Most negotiated rates run $562 to $813.

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 $741 · 10th to 90th $501 to $4,365Professionalmedian $676 · 10th to 90th $447 to $891
$500$1K$2K$5Kfacility $741professional $676

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
$407.38
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$912.01
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$6,760.83

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· 46th of 50

$692

IN $10,233WV $398

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.