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Removal of the Lower Food Pipe Through the Chest

South Dakota rates for HCPCS 43121

Removes the lower portion of the esophagus, the tube carrying food from throat to stomach, through an incision in the chest. The stomach is then brought up and joined to the remaining upper esophagus inside the chest so that swallowing can continue.

Rates data updated July 2026.

How much does Removal of the Lower Food Pipe Through the Chest cost?

$4,365

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $3,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,365$2,951 to $6,026
FacilityA hospital or hospital-owned outpatient department$3,715$2,754 to $5,012

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,291 to $7,586Professionalmedian $4,365 · 10th to 90th $2,512 to $7,586
$2K$5K$10K$20Kfacility $3,715professional $4,365

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
$2,754.23
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,511.89
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$6,025.60
Typical High
$7,585.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,548.13
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,365.16
Typical High
$20,417.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,309.57
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$7,244.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$6,918.31
Typical High
$6,918.31

Where South Dakota sits

The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 8th of 51

$4,365

MN $6,310KY $2,754

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.