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Open Removal of Enlarged Prostate Tissue

South Dakota rates for HCPCS 55831

Open operation through a lower abdominal incision to remove the overgrown inner part of the prostate that is blocking the flow of urine. The outer shell of the gland is left behind, so this relieves obstruction rather than treating cancer. It is generally chosen when the gland is too large to clear through a scope passed along the urethra.

Rates data updated July 2026.

How much does Open Removal of Enlarged Prostate Tissue cost?

$1,585

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,585 for this service. Most negotiated rates run $1,259 to $1,660.

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 $1,950 · 10th to 90th $1,023 to $4,365Professionalmedian $1,585 · 10th to 90th $1,148 to $1,820
$1K$2Kfacility $1,950professional $1,585

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
$954.99
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,238.72
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$1,659.59
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
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 14.1 times more in Maine than in Maryland. 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· 42nd of 50

$1,585

ME $13,183MD $933

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.