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Radical Vulva Removal With Deep Node Removal

South Dakota rates for HCPCS 56640

Cancer surgery that removes the whole vulva along with a deep margin of surrounding tissue, together with the lymph nodes in the groin and the deeper nodes alongside the vessels in the pelvis. Taking the deeper nodes as well allows the spread of the cancer to be assessed and treated more fully. It is a major operation with a long recovery and a high chance of leg swelling afterwards.

Rates data updated July 2026.

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

$2,630

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $2,344 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$2,630$1,514 to $3,467
FacilityA hospital or hospital-owned outpatient department$2,344$1,905 to $3,981

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,862 to $4,365Professionalmedian $2,630 · 10th to 90th $1,288 to $4,365
$2K$5Kfacility $2,344professional $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
$3,388.44
Median
$3,467.37
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,187.76
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,630.27
Typical High
$11,220.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,388.44
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
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
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
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 6.3 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.

South Dakota· 14th of 51

$2,630

CA $8,128DC $1,288

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.