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Simple Revision of a Neck Breathing Opening

South Dakota rates for HCPCS 31613

Reshapes or repairs the surgical opening in the neck that a person breathes through, when it has narrowed, scarred, or healed into a shape that causes problems. The surgeon trims and re-sews the edges so the opening stays the right size and stays easy to use. This is the straightforward version, done without rotating a flap of nearby skin into the opening.

Rates data updated July 2026.

How much does Simple Revision of a Neck Breathing Opening cost?

$776

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $776 for this service. Most negotiated rates run $603 to $813.

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 $1,175 · 10th to 90th $525 to $4,365Professionalmedian $759 · 10th to 90th $513 to $891
$500.0$1.0K$2.0K$5.0Kfacility $1,175professional $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
$3,090.30
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,000.00
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83

Where South Dakota sits

The same service costs 17.8 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $776 · 46th of 50
IN $7,244WV $407

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.