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Lower Extremity and Humerus Procedures (without CC/MCC)

South Dakota rates for MS-DRG 494

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur without CC/MCC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (without CC/MCC) cost?

$22,909

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $21,380 to $22,909.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,909 · 10th to 90th $14,791 to $32,359
$20.0K$50.0Kfacility $22,909

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
$21,379.62
Median
$28,183.83
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$22,908.68
Typical High
$22,908.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$18,620.87
Typical High
$32,359.37
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$20,892.96
Typical High
$34,673.69

Where South Dakota sits

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

South Dakota $22,909 · 39th of 51
CO $48,978NM $16,218

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.