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Newborn Circumcision By Surgical Excision

South Dakota rates for HCPCS 54160

Removes the foreskin of a newborn baby boy by cutting it away with instruments, rather than by crushing it with a clamp or plastic device. It is done in the first weeks of life with numbing medicine, and the edge is closed or dressed. Healing usually takes a week or two.

Rates data updated July 2026.

How much does Newborn Circumcision By Surgical Excision cost?

$269

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $389 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$269$191 to $380
FacilityA hospital or hospital-owned outpatient department$389$224 to $2,692

How much rates vary

Facilitymedian $389 · 10th to 90th $145 to $4,365Professionalmedian $269 · 10th to 90th $132 to $513
$200$500$1K$2Kfacility $389professional $269

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$331.13
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$416.87
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$446.68
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$588.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$562.34

Where South Dakota sits

The same service costs 8.7 times more in Hawaii than in Delaware. 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 51

$269

HI $1,862DE $214

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.