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Surgery On Facial Pain Nerve At Skull Base

South Dakota rates for HCPCS 61450

An operation for severe facial pain, usually trigeminal neuralgia, in which brief shocks of pain shoot through one side of the face. Through an opening in the skull near the temple, the surgeon reaches the nerve bundle carrying sensation from the face and cuts it, decompresses it, or presses on it to interrupt the pain signals. It is considered when medicines no longer control the attacks.

Rates data updated July 2026.

How much does Surgery On Facial Pain Nerve At Skull Base cost?

$3,388

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,388 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $3,090 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$3,388$1,950 to $4,074
FacilityA hospital or hospital-owned outpatient department$3,090$2,138 to $4,365

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,995 to $4,365Professionalmedian $3,388 · 10th to 90th $1,479 to $5,129
$2K$5Kfacility $3,090professional $3,388

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
$1,819.70
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$5,128.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$13,489.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$4,265.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,311.31
Typical High
$3,801.89
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
$1,778.28
Median
$3,548.13
Typical High
$4,897.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$4,570.88

Where South Dakota sits

The same service costs 4.9 times more in California than in Kentucky. 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· 15th of 51

$3,388

CA $9,120KY $1,862

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.