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Targeted Nerve Lesion For Severe Facial Pain

South Dakota rates for HCPCS 61791

A needle procedure that uses precise three-dimensional targeting to destroy a small bundle of pain-carrying nerve fibers deep in the brainstem. It is used for severe facial pain that has not settled with medicines or other treatments.

Rates data updated October 2026.

How much does Targeted Nerve Lesion For Severe Facial Pain cost?

$3,912

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

Insurers have agreed to pay about $3,912 for this procedure. That total is two separate charges: $2,399 to the doctor who performs it, and $1,514 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$2,399$1,738 to $2,754
Facility feeThe hospital or surgery center$1,514$1,288 to $1,698

How much rates vary

Facilitymedian $1,514 · 10th to 90th $1,096 to $1,905Professionalmedian $2,399 · 10th to 90th $1,122 to $2,951
$1K$2K$5Kfacility $1,514professional $2,399

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
$1,071.52
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,288.25
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$3,019.95
Medica
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,513.56
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$2,818.38
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,570.40
Midlands
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,096.48
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,905.46
Typical High
$2,238.72
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,819.70
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$2,570.40
Typical High
$2,951.21
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$2,754.23

Where South Dakota sits

The same service costs 3.5 times more in Alabama than in Florida. 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.

Physician feeFacility fee

South Dakota· 21st of 51

$3,912

$2,399 physician + $1,514 facility

AL $8,041FL $2,265

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.