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Reshaping the Upper Shin Bone for Alignment

South Dakota rates for HCPCS 27457

The top of the shin bone is cut and repositioned to correct bow-legged or knock-kneed alignment, shifting body weight away from the worn side of the knee. Part of the smaller outer bone of the lower leg may also be cut or removed so the correction can be held. This version is for people whose bones have finished growing.

Rates data updated July 2026.

How much does Reshaping the Upper Shin Bone for Alignment cost?

$1,622

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,622 for this service. Most negotiated rates run $1,318 to $1,862.

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 $1,660 · 10th to 90th $1,122 to $4,898Professionalmedian $1,622 · 10th to 90th $1,122 to $2,042
$1K$2K$5K$10Kfacility $1,660professional $1,622

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
$954.99
Median
$4,365.16
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,187.76
Typical High
$2,187.76
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$1,862.09
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08

Where South Dakota sits

The same service costs 28.8 times more in West Virginia than in North Dakota. 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

$1,622

WV $27,542ND $955

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.