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Removal Of The Upper Jawbone

South Dakota rates for HCPCS 31225

Removes the maxilla, the bone that forms the upper jaw, the floor of the eye socket and part of the nose and sinus. It is done for tumors involving that part of the face. A plate or graft is usually fitted afterwards to restore the shape of the face and separate the mouth from the sinus.

Rates data updated July 2026.

How much does Removal Of The Upper Jawbone cost?

$3,090

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $3,090 for this service. Most negotiated rates run $2,455 to $3,467.

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 $2,692 · 10th to 90th $1,820 to $4,467Professionalmedian $3,090 · 10th to 90th $2,089 to $3,802
$2K$5Kfacility $2,692professional $3,090

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
$1,819.70
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$4,786.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,890.45
Typical High
$4,168.69
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,090.30
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota sits

The same service costs 17.4 times more in Maine than in Wyoming. 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· 40th of 50

$3,090

ME $22,387WY $1,288

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.