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Rebuilding A Whole Eyelid With A Borrowed Flap

South Dakota rates for HCPCS 67974

Reconstruction of an entire eyelid through its full thickness, using a flap of lining and supporting tissue borrowed from the opposite eyelid of the same eye. It is done after cancer removal or severe injury has left too little tissue for a simple repair. The flap keeps its own blood supply, so the eye is usually closed over for a period while it takes.

Rates data updated October 2026.

How much does Rebuilding A Whole Eyelid With A Borrowed Flap cost?

$3,774

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

Insurers have agreed to pay about $3,774 for this procedure. That total is two separate charges: $1,778 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$1,778$1,288 to $2,138
Facility feeThe hospital or surgery center$1,995$1,349 to $2,089

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,148 to $2,399Professionalmedian $1,778 · 10th to 90th $851 to $2,630
$1K$2K$5Kfacility $1,995professional $1,778

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
$933.25
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,348.96
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,995.26
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,862.09
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$2,344.23
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$1,949.84
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
$851.14
Median
$1,862.09
Typical High
$2,570.40
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota sits

The same service costs 3.1 times more in Wisconsin 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· 19th of 51

$3,774

$1,778 physician + $1,995 facility

WI $8,254FL $2,626

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.