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Open Exploration Of The Abdomen

South Dakota rates for HCPCS 49000

The abdomen is opened through an incision so the surgeon can look directly at the organs inside and find the cause of pain, bleeding, infection, or an abnormal scan. Tissue samples may be taken during the same operation if something suspicious is found. It is used when the diagnosis cannot be settled by scans or less invasive tests.

Rates data updated July 2026.

How much does Open Exploration Of The Abdomen cost?

$1,259

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,259 for this service. Most negotiated rates run $955 to $1,514.

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 $1,175 · 10th to 90th $724 to $4,365Professionalmedian $1,288 · 10th to 90th $871 to $1,585
$1K$2Kfacility $1,175professional $1,288

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
$758.58
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,737.80
Typical High
$1,737.80
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$1,513.56
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28

Where South Dakota sits

The same service costs 24.5 times more in West Virginia than in North Dakota. 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· 43rd of 50

$1,259

WV $18,621ND $759

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.