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Pelvic Control, Hip Joint, Heavy-Duty

South Dakota rates for HCPCS L2620

Addition to lower extremity, pelvic control, hip joint, heavy-duty, each

Rates data updated July 2026.

How much does Pelvic Control, Hip Joint, Heavy-Duty cost?

$288

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $309 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$288$209 to $347
FacilityA hospital or hospital-owned outpatient department$309$257 to $389

How much rates vary

Facilitymedian $309 · 10th to 90th $204 to $427Professionalmedian $288 · 10th to 90th $204 to $437
$200$500$1K$2Kfacility $309professional $288

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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$416.87
Midlands
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$537.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$354.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19

Where South Dakota sits

The same service costs 4.1 times more in Hawaii than in Washington, DC. 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· 7th of 51

$288

HI $562DC $138

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.