go back

Unlisted Procedure On The Eye's Surface Membrane

South Dakota rates for HCPCS 68399

Covers an operation on the conjunctiva — the thin clear membrane that covers the white of the eye and lines the inside of the eyelids — where no standard named entry fits. The surgeon submits a written report describing exactly what was done.

Rates data updated July 2026.

How much does Unlisted Procedure On The Eye's Surface Membrane cost?

$151

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $151 to $151.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $813 to $4,365Professionalmedian $151 · 10th to 90th $151 to $151
$200$500$1K$2Kfacility $4,365professional $151

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
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83

Where South Dakota sits

The same service costs 83.2 times more in Wisconsin than in South Dakota. 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.

South Dakota· 50th of 50

$151

WI $12,589SD $151

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.