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Radical Vulva Removal With Groin Node Removal

North Dakota rates for HCPCS 56634

Cancer surgery that removes the whole vulva together with a deep margin of surrounding tissue, along with the lymph nodes in the groin. Removing and examining the groin nodes shows whether the cancer has begun to spread and treats spread that is already there. It is a major operation with a long recovery, and leg swelling is a common lasting effect.

Rates data updated July 2026.

How much does Radical Vulva Removal With Groin Node Removal cost?

$2,512

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $1,259 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 5 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$2,570$1,622 to $3,020
FacilityA hospital or hospital-owned outpatient department$1,259$1,175 to $1,820

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,175 to $8,511Professionalmedian $2,570 · 10th to 90th $1,259 to $3,311
$2K$5K$10K$20Kfacility $1,259professional $2,570

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
$1,174.90
Median
$1,258.93
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,818.38
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,819.70
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,290.87
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$19,952.62
Typical High
$19,952.62
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,187.76
Typical High
$3,162.28

Where North Dakota sits

The same service costs 7.2 times more in California than in Washington, DC. 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.

North Dakota· 8th of 51

$2,512

CA $7,943DC $1,096

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.