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Biopsy of an Eye Movement Muscle

South Dakota rates for HCPCS 67346

Removal of a small sample of tissue from one of the muscles that moves the eye, so it can be examined under a microscope. It is used to help diagnose muscle or inflammatory conditions affecting eye movement, such as unexplained muscle enlargement or suspected inflammatory or autoimmune disease. The sample is typically taken through a small incision in the tissue covering the white of the eye.

Rates data updated October 2026.

How much does Biopsy of an Eye Movement Muscle cost?

$2,375

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

Insurers have agreed to pay about $2,375 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $1,995 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$380$275 to $447
Facility feeThe hospital or surgery center$1,995$355 to $2,089

How much rates vary

Facilitymedian $1,995 · 10th to 90th $282 to $2,399Professionalmedian $380 · 10th to 90th $182 to $550
$200$500$1K$2Kfacility $1,995professional $380

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
$190.55
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$1,047.13
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$446.68
Typical High
$562.34
Medica
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$457.09
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$389.05
Typical High
$549.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Midlands
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,047.13
Typical High
$2,344.23
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$316.23
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$389.05
Typical High
$537.03
Wellmark
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$407.38
Typical High
$407.38

Where South Dakota sits

The same service costs 11.2 times more in Colorado than in Montana. 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· 27th of 51

$2,375

$380 physician + $1,995 facility

CO $6,406MT $571

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.