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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 October 2026.

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

$2,447

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

Insurers have agreed to pay about $2,447 for this procedure. That total is two separate charges: $933 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$933$676 to $1,000
Facility feeThe hospital or surgery center$1,514$617 to $1,698

How much rates vary

Facilitymedian $1,514 · 10th to 90th $589 to $1,995Professionalmedian $933 · 10th to 90th $417 to $1,230
$500$1K$2Kfacility $1,514professional $933

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
$436.52
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$457.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$1,445.44
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$1,000.00
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$1,148.15
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,000.00
Midlands
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,479.11
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$691.83
Typical High
$812.83
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
$416.87
Median
$1,122.02
Typical High
$1,202.26
Wellmark
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$977.24
Typical High
$977.24

Where South Dakota sits

The same service costs 4.1 times more in Oklahoma than in Montana. 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· 27th of 51

$2,447

$933 physician + $1,514 facility

OK $5,653MT $1,368

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.