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Repair of an Oronasal Fistula

South Dakota rates for HCPCS 30600

Surgical closure of an abnormal opening that connects the mouth and the nasal cavity, allowing air, food, or liquid to pass between the two where they shouldn't. This opening can result from a cleft palate, prior surgery, trauma, or a nonhealing wound in the roof of the mouth. The surgeon closes the opening with local tissue, sometimes reinforced with a tissue flap, working through the mouth.

Rates data updated July 2026.

How much does Repair of an Oronasal Fistula cost?

$1,671

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

Insurers have agreed to pay about $1,671 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $912 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$759$501 to $1,023
Facility feeThe hospital or surgery center$912$589 to $1,479

How much rates vary

Facilitymedian $912 · 10th to 90th $479 to $4,365Professionalmedian $759 · 10th to 90th $407 to $1,230
$500$1K$2K$5K$10Kfacility $912professional $759

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
$436.52
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,122.02
Typical High
$3,981.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,230.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$891.25
Typical High
$1,445.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$1,479.11

Where South Dakota sits

The same service costs 14.9 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· 47th of 50

$1,671

$759 physician + $912 facility

IN $14,627WV $980

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.