go back

Heel, Thomas with Wedge

South Dakota rates for HCPCS L3465

Heel, Thomas with wedge

Rates data updated July 2026.

How much does Heel, Thomas with Wedge cost?

$60.26

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $66.07 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$60.26$48.98 to $81.28
FacilityA hospital or hospital-owned outpatient department$66.07$52.48 to $79.43

How much rates vary

Facilitymedian $66 · 10th to 90th $39 to $98Professionalmedian $60 · 10th to 90th $44 to $102
$20$50$100$200facility $66professional $60

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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$48.98
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$47.86
Typical High
$354.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$77.62
Midlands
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Midlands
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$128.82
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$36.31
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$47.86
Typical High
$83.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61

Where South Dakota sits

The same service costs 2.5 times more in Minnesota 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· 5th of 51

$60.26

MN $70.79DC $28.18

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.