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Complex Reconstruction Of The Scrotum

South Dakota rates for HCPCS 55180

Rebuilds the scrotum, the pouch of skin that holds the testicles, in the more involved version of this repair. It is used when a large area of skin has been lost or badly scarred and nearby tissue has to be moved across to cover the area. The aim is to restore a protective covering for the testicles.

Rates data updated October 2026.

How much does Complex Reconstruction Of The Scrotum cost?

$2,959

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $2,959 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $1,514 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$1,072 to $1,622
Facility feeThe hospital or surgery center$1,514$977 to $1,820

How much rates vary

Facilitymedian $1,514 · 10th to 90th $955 to $3,090Professionalmedian $1,445 · 10th to 90th $692 to $1,950
$1K$2K$5Kfacility $1,514professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$691.83
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$707.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,621.81
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,513.56
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,862.09
Typical High
$5,128.61
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,621.81
Typical High
$1,621.81
Midlands
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,584.89
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,698.24
Typical High
$1,949.84
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,513.56

Where South Dakota sits

The same service costs 4.2 times more in Alaska than in Hawaii. 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.

Physician feeFacility fee

South Dakota· 34th of 51

$2,959

$1,445 physician + $1,514 facility

AK $8,844HI $2,110

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.