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Removal of Deep Branchial Cleft Cyst

South Dakota rates for HCPCS 42815

Removes a branchial cleft cyst or leftover tract from the side of the neck, a pocket or channel of tissue left over from the way the neck forms before birth. This version covers growths that reach below the skin and the fatty layer beneath it, sometimes tracking deep in the neck as far as the throat. It is done through an incision, under general anesthesia.

Rates data updated July 2026.

How much does Removal of Deep Branchial Cleft Cyst cost?

$912

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $912 for this service. Most negotiated rates run $692 to $1,047.

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 $1,000 · 10th to 90th $513 to $4,898Professionalmedian $912 · 10th to 90th $646 to $1,122
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,000professional $912

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$4,365.16
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$870.96
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,258.93
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64

Where South Dakota sits

The same service costs 25.7 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $912 · 46th of 50
IN $14,125ND $550

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.