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Open Removal of Uterine Fibroids, Larger Case

South Dakota rates for HCPCS 58146

Surgery through an incision in the lower abdomen to remove fibroids, non-cancerous growths, from the wall of the uterus while leaving the uterus itself in place. This covers the heavier version of the operation, where many fibroids or a large bulk of fibroid tissue has to be taken out.

Rates data updated July 2026.

How much does Open Removal of Uterine Fibroids, Larger Case cost?

$3,966

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

Insurers have agreed to pay about $3,966 for this procedure. That total is two separate charges: $1,622 to the doctor who performs it, and $2,344 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$1,622$1,175 to $2,239
Facility feeThe hospital or surgery center$2,344$1,514 to $3,162

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,380 to $4,365Professionalmedian $1,622 · 10th to 90th $1,023 to $3,020
$1.0K$2.0K$5.0Kfacility $2,344professional $1,622

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
$1,148.15
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,570.40
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,041.74
Typical High
$8,511.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,511.89
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,949.84
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,238.72
Typical High
$3,162.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$2,454.71

Where South Dakota sits

The same service costs 11.0 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 $3,966 · 43rd of 50
ME $24,761WV $2,245

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.