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Metacarpophalangeal Joint Implant

South Dakota rates for HCPCS L8630

Metacarpophalangeal joint implant

Rates data updated July 2026.

How much does Metacarpophalangeal Joint Implant cost?

$525

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $447 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$525$339 to $631
FacilityA hospital or hospital-owned outpatient department$447$372 to $741

How much rates vary

Facilitymedian $447 · 10th to 90th $302 to $1,047Professionalmedian $525 · 10th to 90th $316 to $776
$200.0$500.0$1.0K$2.0Kfacility $447professional $525

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
$389.05
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$776.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$446.68
Midlands
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$954.99
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$338.84
Typical High
$630.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38

Where South Dakota sits

The same service costs 3.0 times more in Minnesota than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $525 · 3rd of 51
MN $537NE $178

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.