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Repair of a Torn Eye Muscle or Its Covering

South Dakota rates for HCPCS 65290

Stitches together a torn eye-moving muscle, its tendon, or the thin membrane that wraps the eyeball behind the eyelids. It is done after a cut or penetrating injury to the eye area, or when these tissues are damaged during other surgery. Restoring them keeps the eye moving normally and prevents double vision.

Rates data updated July 2026.

How much does Repair of a Torn Eye Muscle or Its Covering cost?

$1,744

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

Insurers have agreed to pay about $1,744 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $912 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$832$525 to $1,072
Facility feeThe hospital or surgery center$912$589 to $3,548

How much rates vary

Facilitymedian $912 · 10th to 90th $457 to $4,365Professionalmedian $832 · 10th to 90th $427 to $1,413
$500.0$1.0K$2.0K$5.0Kfacility $912professional $832

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
$489.78
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,412.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$776.25
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,174.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$891.25
Typical High
$1,380.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,071.52

Where South Dakota sits

The same service costs 10.6 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 $1,744 · 46th of 50
IN $10,758WV $1,015

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.