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Removal of a Growth Outside the Spinal Sac, Low Spine

South Dakota rates for HCPCS 63278

Removes part of the bony arch at the base of the spine to reach and take out a growth that sits outside the tough sac surrounding the spinal nerves, in the sacral region above the tailbone. Because the sac is not opened, the nerves inside are left undisturbed. It is done to relieve pressure on the nerves and to find out what the growth is.

Rates data updated October 2026.

How much does Removal of a Growth Outside the Spinal Sac, Low Spine cost?

$4,514

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

Insurers have agreed to pay about $4,514 for this procedure. That total is two separate charges: $3,311 to the doctor who performs it, and $1,202 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$3,311$2,512 to $3,890
Facility feeThe hospital or surgery center$1,202$759 to $2,089

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $2,692Professionalmedian $3,311 · 10th to 90th $1,622 to $4,074
$1K$2K$5K$10Kfacility $1,202professional $3,311

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
$1,513.56
Median
$1,513.56
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,388.44
Typical High
$4,265.80
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,949.84
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$3,388.44
Typical High
$11,481.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,570.40
Typical High
$3,162.28
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$2,951.21
Typical High
$4,073.80
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$3,890.45

Where South Dakota sits

The same service costs 15.3 times more in Maine than in Delaware. 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· 23rd of 51

$4,514

$3,311 physician + $1,202 facility

ME $34,309DE $2,240

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.