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Colon Removal With Rectal Join and Colostomy

South Dakota rates for HCPCS 44146

Removes a portion of the colon and joins the remaining bowel to the rectum low in the pelvis, then brings bowel out to the skin as a colostomy so stool is diverted while that join heals. Diversion protects a connection made deep in the pelvis, where healing is slower and leaks are more serious. The colostomy can usually be closed later.

Rates data updated July 2026.

How much does Colon Removal With Rectal Join and Colostomy cost?

$3,388

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $3,388 for this service. Most negotiated rates run $2,630 to $4,074.

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 $2,818 · 10th to 90th $1,995 to $5,495Professionalmedian $3,467 · 10th to 90th $2,399 to $4,365
$2K$5K$10Kfacility $2,818professional $3,467

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
$2,089.30
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,754.23
Typical High
$5,623.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,786.30
Typical High
$4,786.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$4,073.80
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
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 10.2 times more in Maine than in Wyoming. 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· 27th of 50

$3,388

ME $13,183WY $1,288

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.