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Creating a Vagina Without a Graft

South Dakota rates for HCPCS 57291

Surgery that creates a vaginal canal using the surrounding tissues, without taking a graft from elsewhere on the body. A space is opened between the bladder and rectum and lined with local tissue so the canal stays open as it heals.

Rates data updated July 2026.

How much does Creating a Vagina Without a Graft cost?

$955

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $1,380 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$933$562 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,380$794 to $4,365

How much rates vary

Facilitymedian $1,380 · 10th to 90th $661 to $4,898Professionalmedian $933 · 10th to 90th $468 to $1,585
$500$1K$2K$5K$10Kfacility $1,380professional $933

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
$537.03
Median
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$954.99
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,071.52
Typical High
$1,479.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,202.26

Where South Dakota sits

The same service costs 14.1 times more in California than in West Virginia. 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· 22nd of 51

$955

CA $7,586WV $537

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.