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Use of an Operating Microscope

South Dakota rates for HCPCS 69990

Covers the use of a surgical microscope during an operation, giving the surgeon a magnified and brightly lit view for work on very small structures such as nerves and tiny blood vessels. It supports another operation rather than standing on its own, and is billed in addition to it.

Rates data updated July 2026.

How much does Use of an Operating Microscope cost?

$380

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $309 to $427.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $562 · 10th to 90th $204 to $4,365Professionalmedian $380 · 10th to 90th $257 to $457
$200$500$1K$2Kfacility $562professional $380

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
$204.17
Median
$2,290.87
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$588.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$467.74
Typical High
$478.63
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$426.58
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83

Where South Dakota sits

The same service costs 61.7 times more in West Virginia than in North 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· 46th of 50

$380

WV $12,589ND $204

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.