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Ossicula Implant

South Dakota rates for HCPCS L8613

Ossicula implant

Rates data updated July 2026.

How much does Ossicula Implant cost?

$347

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $1,230 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 8 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$309$295 to $417
FacilityA hospital or hospital-owned outpatient department$1,230$347 to $1,230

How much rates vary

Facilitymedian $1,230 · 10th to 90th $269 to $1,230Professionalmedian $309 · 10th to 90th $257 to $589
$200$500$1Kfacility $1,230professional $309

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$346.74
Avera
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$354.81
Midlands
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$549.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$234.42
Typical High
$478.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59

Where South Dakota sits

The same service costs 2.6 times more in Wisconsin than in Nebraska. 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· 4th of 51

$347

WI $407NE $158

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.