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Heart Bypass, Four Vein Grafts With Artery Grafts

South Dakota rates for HCPCS 33521

Covers the vein portion of a coronary bypass operation in which both arteries and veins are used to route blood around blocked heart vessels. Four lengths of vein, usually taken from the leg, are attached to carry blood past blockages. It is billed in addition to the arterial grafting done in the same operation.

Rates data updated July 2026.

How much does Heart Bypass, Four Vein Grafts With Artery Grafts cost?

$1,122

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $912 to $1,230.

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 $1,096 · 10th to 90th $631 to $4,365Professionalmedian $1,122 · 10th to 90th $813 to $1,288
$1K$2Kfacility $1,096professional $1,122

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
$630.96
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,230.27
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
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 53.7 times more in Indiana than in North Dakota. 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· 44th of 49

$1,122

IN $33,884ND $631

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.