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Cutting The Tight Muscle At The Top Of The Gullet

South Dakota rates for HCPCS 43030

Divides the cricopharyngeus, the ring of muscle at the top of the esophagus that normally relaxes to let food pass. When it stays tight, swallowing feels blocked at the throat and food or liquid can come back up or go down the wrong way. Through an incision in the side of the neck the surgeon cuts the muscle so the passage opens freely.

Rates data updated July 2026.

How much does Cutting The Tight Muscle At The Top Of The Gullet cost?

$871

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $646 to $1,023.

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 $977 · 10th to 90th $513 to $4,365Professionalmedian $871 · 10th to 90th $603 to $1,072
$500$1K$2K$5K$10Kfacility $977professional $871

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
$512.86
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$891.25
Typical High
$1,479.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,174.90
Typical High
$1,174.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,023.29
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 29.5 times more in Indiana than in West Virginia. 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· 40th of 50

$871

IN $15,136WV $513

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.