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Radical Vulvectomy With Groin Lymph Node Removal

South Dakota rates for HCPCS 56637

Surgery for vulvar cancer that removes the whole vulva together with the deeper tissue beneath it, and also takes out the lymph nodes in the groin. Removing the nodes shows whether the cancer has spread and reduces the chance of it returning there. It is major surgery, often followed by reconstruction and sometimes by radiation.

Rates data updated July 2026.

How much does Radical Vulvectomy With Groin Lymph Node Removal cost?

$5,721

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

Insurers have agreed to pay about $5,721 for this procedure. That total is two separate charges: $2,630 to the doctor who performs it, and $3,090 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$2,630$1,585 to $3,467
Facility feeThe hospital or surgery center$3,090$1,905 to $4,365

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,820 to $4,365Professionalmedian $2,630 · 10th to 90th $1,288 to $4,365
$2.0K$5.0K$10.0Kfacility $3,090professional $2,630

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
$1,479.11
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,467.37
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,630.27
Typical High
$11,748.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,311.31
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,570.40
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$4,073.80
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,388.44
Typical High
$3,467.37

Where South Dakota sits

The same service costs 7.1 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeSouth Dakota $5,721 · 34th of 50
ME $20,663WV $2,892

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.