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Vaginal Hysterectomy For A Larger Uterus

South Dakota rates for HCPCS 58290

This removes the uterus through the vagina, without any incision on the abdomen, in a case where the uterus is larger than average, generally weighing more than about half a pound. The larger size can make the surgery more technically demanding than a standard vaginal hysterectomy, requiring extra steps to remove the uterus safely and completely through the vaginal approach. Recovery benefits from the vaginal approach still apply, including no external abdominal incision.

Rates data updated July 2026.

How much does Vaginal Hysterectomy For A Larger Uterus cost?

$4,970

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

Insurers have agreed to pay about $4,970 for this procedure. That total is two separate charges: $1,950 to the doctor who performs it, and $3,020 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$1,950$1,230 to $2,570
Facility feeThe hospital or surgery center$3,020$1,622 to $4,467

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,380 to $4,898Professionalmedian $1,950 · 10th to 90th $955 to $3,236
$1.0K$2.0K$5.0K$10.0Kfacility $3,020professional $1,950

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
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,023.29
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
$1,348.96
Median
$1,905.46
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$15,135.61
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 15.2 times more in Indiana 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 $4,970 · 41st of 50
IN $33,648WV $2,218

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.