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Knee Fusion

South Dakota rates for HCPCS 27580

Permanently joins the thigh bone to the shin bone so the knee no longer bends. The damaged joint surfaces are removed and the bones are held firmly together with rods, plates or an external frame until they grow into one solid unit. It is chosen when the knee is beyond repair or replacement, and the aim is a stable, pain-free leg.

Rates data updated July 2026.

How much does Knee Fusion 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 $2,042 to $2,884.

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 $2,570 · 10th to 90th $1,778 to $4,898Professionalmedian $2,455 · 10th to 90th $1,660 to $3,162
$2K$5K$10K$20Kfacility $2,570professional $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
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,235.94
Typical High
$3,235.94
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,454.71
Typical High
$2,884.03
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
$5,370.32
Median
$5,370.32
Typical High
$26,302.68

Where South Dakota sits

The same service costs 18.2 times more in Maine 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· 42nd of 50

$2,455

ME $26,303WV $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.