go back

Extensive Infant Skull Surgery, Several Fused Joints

South Dakota rates for HCPCS 61559

When several of the fibrous joints between an infant's skull bones have fused too early, the skull cannot grow with the brain and the head becomes badly misshapen. In this extensive operation the surgeon takes off and reshapes large sections of the skull, making multiple cuts in the bone to recontour it, and uses pieces of the child's own bone as grafts to fill and support the rebuilt shape. It is carried out by a specialized surgical team, typically within the first year of life.

Rates data updated October 2026.

How much does Extensive Infant Skull Surgery, Several Fused Joints cost?

$4,677

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $1,202 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,012$3,715 to $5,754
FacilityA hospital or hospital-owned outpatient department$1,202$759 to $3,162

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $3,981Professionalmedian $5,012 · 10th to 90th $2,291 to $6,166
$1K$2K$5K$10Kfacility $1,202professional $5,012

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$5,128.61
Typical High
$6,456.54
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$2,691.53
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$5,888.44
Typical High
$16,982.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$5,011.87
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$4,073.80
Typical High
$4,786.30
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$5,495.41
Typical High
$6,165.95
Wellmark
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$5,754.40
Typical High
$5,754.40

Where South Dakota sits

The same service costs 6.0 times more in Alaska than in Texas. 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· 6th of 51

$4,677

AK $9,772TX $1,622

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.