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Knee Arthroscopy, Body Removal or Chondroplasty

South Dakota rates for HCPCS G0289

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

Rates data updated October 2026.

How much does Knee Arthroscopy, Body Removal or Chondroplasty cost?

$258

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

Insurers have agreed to pay about $258 for this procedure. That total is two separate charges: $110 to the doctor who performs it, and $148 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$110$89.13 to $155
Facility feeThe hospital or surgery center$148$126 to $151

How much rates vary

Facilitymedian $148 · 10th to 90th $117 to $224Professionalmedian $110 · 10th to 90th $85 to $234
$100$200$500$1K$2Kfacility $148professional $110

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
$85.11
Median
$85.11
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$87.10
Typical High
$91.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$109.65
Typical High
$134.90
Medica
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$147.91
Typical High
$223.87
Medica
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$177.83
Typical High
$524.81
Midlands
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Midlands
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$190.55
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$128.82
Typical High
$165.96
United
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$169.82
Typical High
$234.42
Wellmark
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$89.13
Typical High
$104.71

Where South Dakota sits

The same service costs 16.6 times more in Alabama than in Delaware. 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 51

$258

$110 physician + $148 facility

AL $3,321DE $200

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.