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Direct Repair of a Blood Vessel in the Chest

South Dakota rates for HCPCS 35216

Repairs a torn, cut, or damaged blood vessel inside the chest by stitching the vessel wall itself back together, rather than replacing the damaged length with a graft. The chest is opened to expose and control the vessel. It is most often needed after an injury or when a vessel is damaged during another operation.

Rates data updated October 2026.

How much does Direct Repair of a Blood Vessel in the Chest cost?

$5,276

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

Insurers have agreed to pay about $5,276 for this procedure. That total is two separate charges: $4,074 to the doctor who performs it, and $1,202 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$4,074$2,951 to $4,898
Facility feeThe hospital or surgery center$1,202$759 to $3,388

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $3,467Professionalmedian $4,074 · 10th to 90th $1,995 to $5,623
$1K$2K$5K$10Kfacility $1,202professional $4,074

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
$1,995.26
Median
$1,995.26
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,570.88
Typical High
$5,623.41
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,137.96
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$5,248.07
Typical High
$15,135.61
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$3,981.07
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$4,365.16
Typical High
$5,495.41
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$4,897.79
Typical High
$4,897.79

Where South Dakota sits

The same service costs 7.2 times more in Alabama than in Washington. 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

$5,276

$4,074 physician + $1,202 facility

AL $19,737WA $2,745

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.