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Fusion of the Joint Below the Ankle

South Dakota rates for HCPCS 28725

Fuses the joint between the heel bone and the talus, just below the ankle, so the two bones knit into one. The worn cartilage is cleared away, the bones are held together with screws, and bone graft may be used to encourage them to unite. Once healed, that joint no longer moves — which removes pain from it but reduces side-to-side flexibility of the foot on uneven ground.

Rates data updated July 2026.

How much does Fusion of the Joint Below the Ankle cost?

$1,445

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,445 for this service. Most negotiated rates run $1,148 to $2,042.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $12,882 · 10th to 90th $1,122 to $12,882Professionalmedian $1,318 · 10th to 90th $955 to $1,698
$1K$2K$5K$10K$20Kfacility $12,882professional $1,318

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$12,882.50
Typical High
$12,882.50
Avera
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,584.89
Typical High
$19,952.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$13,489.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$1,778.28
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,548.82
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
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 26.3 times more in Indiana than in Maryland. 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

$1,445

IN $20,417MD $776

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.