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Synthetic Mesh Reinforcement Of The Abdominal Wall

South Carolina rates for HCPCS 0437T

Places a sheet of synthetic mesh to strengthen the tough tissue layer of the abdominal wall. It is performed alongside a primary operation and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

How much does Synthetic Mesh Reinforcement Of The Abdominal Wall cost?

$275

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $490 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 5 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$275$263 to $324
FacilityA hospital or hospital-owned outpatient department$490$275 to $5,623

How much rates vary

Facilitymedian $490 · 10th to 90th $263 to $16,596Professionalmedian $275 · 10th to 90th $186 to $398
$100$500$2K$10Kfacility $490professional $275

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
$263.03
Median
$7,762.47
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$537.03
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$707.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,122.02
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$562.34

Where South Carolina sits

The same service costs 6.9 times more in California than in Kentucky. 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 Carolina· 49th of 51

$275

CA $1,778KY $257

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.