go back

Ankle Bone Cartilage Graft Repair, Open

South Dakota rates for HCPCS 28446

This surgery repairs a damaged patch of cartilage and the bone beneath it on the ankle bone, called the talus, by transplanting a small plug of healthy bone and cartilage into the injured area. The surgeon works through an open incision to place the graft so the joint surface becomes smooth again. This type of repair is used when a worn or injured area of the joint surface is causing pain or catching.

Rates data updated July 2026.

How much does Ankle Bone Cartilage Graft Repair, Open cost?

$4,131

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

Insurers have agreed to pay about $4,131 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $2,042 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$2,089$1,202 to $2,754
Facility feeThe hospital or surgery center$2,042$1,738 to $3,236

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,445 to $4,365Professionalmedian $2,089 · 10th to 90th $1,023 to $3,467
$1K$2K$5K$10Kfacility $2,042professional $2,089

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
$1,202.26
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,995.26
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,187.76
Typical High
$9,120.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,630.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,089.30
Typical High
$3,311.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,454.71
Typical High
$2,884.03

Where South Dakota sits

The same service costs 9.7 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.

Physician feeFacility fee

South Dakota· 44th of 50

$4,131

$2,089 physician + $2,042 facility

IN $24,168WV $2,491

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.