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Surgery in the Space Behind the Upper Jaw

South Dakota rates for HCPCS 31040

Reaches and operates within the pterygomaxillary fossa, a small deep pocket behind the upper jaw through which important nerves and blood vessels pass on their way toward the base of the skull. The route in may be through the mouth, through the nose, or through a facial incision, depending on what needs to be reached. It is used to remove growths or to control bleeding from the vessels in that space.

Rates data updated October 2026.

How much does Surgery in the Space Behind the Upper Jaw cost?

$3,212

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

Insurers have agreed to pay about $3,212 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $1,514 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$1,698$1,230 to $1,862
Facility feeThe hospital or surgery center$1,514$1,175 to $1,820

How much rates vary

Facilitymedian $1,514 · 10th to 90th $1,072 to $3,236Professionalmedian $1,698 · 10th to 90th $813 to $2,188
$1K$2K$5K$10Kfacility $1,514professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$776.25
Median
$776.25
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,513.56
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$2,089.30
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,819.70
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$3,235.94
Typical High
$4,897.79
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,288.25
Typical High
$1,548.82
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,862.09
Typical High
$2,187.76
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,778.28
Typical High
$1,778.28

Where South Dakota sits

The same service costs 5.2 times more in Alaska than in Kentucky. 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· 38th of 51

$3,212

$1,698 physician + $1,514 facility

AK $9,768KY $1,881

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.