go back

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 July 2026.

How much does Biopsy of an Eye Movement Muscle cost?

$844

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

Insurers have agreed to pay about $844 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $513 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$331$214 to $447
Facility feeThe hospital or surgery center$513$234 to $3,162

How much rates vary

Facilitymedian $513 · 10th to 90th $166 to $4,365Professionalmedian $331 · 10th to 90th $166 to $562
$200$500$1K$2K$5Kfacility $513professional $331

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
$190.55
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$204.17
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$467.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$371.54
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
$177.83
Median
$346.74
Typical High
$537.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$407.38

Where South Dakota sits

The same service costs 25.9 times more in Indiana than in West Virginia. 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· 44th of 50

$844

$331 physician + $513 facility

IN $10,204WV $395

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.